Individual
DR. LYNNETTE MICHELLE GUIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D., L.AC
Contact information
Practice address
670 NEWFIELD ST, UNIT C, MIDDLETOWN, CT 06457-1867
(860) 347-8800
(860) 347-8801
Mailing address
670 NEWFIELD ST, UNIT C, MIDDLETOWN, CT 06457-1867
(860) 347-8800
(860) 347-8801
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000321
CT
175F00000X
Naturopath
Primary
000280
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000280
CT NATUROPATHIC LICENSE N
CT
01
—
000321
CT ACUPUNCTURIST LICENSE
CT
01
—
110000280CT02
ANTHEM PROVIDER ID NUMBER
CT
01
—
691926
CONNECTICARE PROVIDER ID
CT
Enumeration date
02/20/2007
Last updated
11/13/2008
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