Individual
LAURA K LOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 MOUNTAIN RD, FARMINGTON, CT 06032-2479
(860) 676-9000
Mailing address
200 MOUNTAIN RD, FARMINGTON, CT 06032-2479
(860) 676-9000
(860) 676-1546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001857
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001857
STATE LICENSE NUMBER
DC
Enumeration date
06/27/2007
Last updated
12/18/2013
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