Individual
MS. LYNN MARIE WRACAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.EXERCISE SCIENCE
Contact information
Practice address
15 FITCH RD, LISBON, CT 06351-7012
(860) 884-0996
Mailing address
15 FITCH RD, LISBON, CT 06351-7012
(860) 884-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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