Individual
ANMONIQUE LOTHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 COURT ST, STAMFORD, CT 06902-2302
(203) 952-5531
Mailing address
15 COURT ST, STAMFORD, CT 06902-2302
(203) 952-5531
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316285-1
NY
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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