Organization
L&M PHYSICIAN ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KANE (VICE PRESIDENT)
(860) 442-0711
Entity
Organization
Contact information
Practice address
2 LORENZ INDUSTRIAL PKWY, LEDYARD, CT 06339-1946
(860) 464-3045
(860) 464-3044
Mailing address
2 LORENZ INDUSTRIAL PKWY, LEDYARD, CT 06339-1946
(860) 464-3045
(860) 464-3044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
CT
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386972693
—
CT
Enumeration date
11/24/2009
Last updated
05/08/2013
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