Individual
DR. STEPHEN LORD PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., OMD
Contact information
Practice address
536 HOPMEADOW ST, SIMSBURY, CT 06070-2415
(860) 413-2118
(860) 920-5216
Mailing address
36 SPRING GLEN DR, GRANBY, CT 06035-2622
(860) 413-2118
(860) 920-5216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
265
HI
171100000X
Acupuncturist
Primary
512
CT
Other
Enumeration date
08/17/2011
Last updated
10/26/2016
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