Individual
MRS. LORI JEAN LACARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MS CLT
Contact information
Practice address
27 DEPOT ST, WATERTOWN, CT 06795-2601
(860) 274-1487
(860) 274-4860
Mailing address
270 FARMINGTON AVE, SUITE 303, FARMINGTON, CT 06032-1909
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002876
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002876CT03
ANTHEM BC BS
CT
01
—
650000687
MEDICARE
CT
Enumeration date
02/20/2008
Last updated
10/25/2011
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