Individual
LORI C STETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1291 BOSTON POST RD, SUITE 105, MADISON, CT 06443-3476
(203) 245-1413
(203) 318-0814
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4819
(860) 358-4809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043780
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437806
—
CT
Enumeration date
10/13/2006
Last updated
01/27/2009
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