Individual
CRYSTAL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
10 FOREST PARK DR STE 1, FARMINGTON, CT 06032-1499
(860) 404-2197
Mailing address
141 BOOTH ST, NEW BRITAIN, CT 06053-3604
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000852
CT
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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