Individual
MRS. LORA LONG FELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14 ASPENWOOD, WEATOGUE, CT 06089
(860) 658-5628
Mailing address
14 ASPENWOOD, WEATOGUE, CT 06089
(860) 658-5628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
005042
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005042
CT
Other
Enumeration date
08/14/2012
Last updated
06/10/2014
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