Individual
MS. LORI LYNN CALAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001000962
NC
363AS0400X
Surgical Physician Assistant
Primary
1924
CT
Other
Enumeration date
06/10/2006
Last updated
05/22/2024
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