Individual
LINDA LEA LACERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382-2527
(860) 848-1297
(860) 848-9875
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036334
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001363340
—
CT
Enumeration date
01/04/2007
Last updated
10/18/2013
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