Individual
SIOBHAN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
74 STATE ST, NEW LONDON, CT 06320-6398
(860) 501-0611
Mailing address
82 CROWN KNOLL CT, #157, GROTON, CT 06340-6293
(860) 501-0611
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1604
CT
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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