Individual
JOSEPH LANCTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2001 W MAIN ST, STAMFORD, CT 06902-4501
(203) 658-8291
Mailing address
2001 W MAIN ST, STAMFORD, CT 06902-4501
(203) 658-8291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12475
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12475
STATE LICENSE NO
CT
Enumeration date
10/03/2023
Last updated
01/12/2024
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