Individual
LORI WECKESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2632
(860) 347-6971
Mailing address
675 MAIN ST, MIDDLETOWN, CT 06457-2632
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E59656
CT
363L00000X
Nurse Practitioner
Primary
9149
CT
Other
Enumeration date
05/14/2020
Last updated
09/01/2020
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