Individual
DR. LORNA M SEYBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 WHITNEY AVE STE 290, HAMDEN, CT 06518-3695
(203) 903-8308
(203) 599-3927
Mailing address
2200 WHITNEY AVE STE 290, HAMDEN, CT 06518-3695
(203) 903-8308
(203) 599-3927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77094
CT
2080P0208X
Pediatric Infectious Diseases Physician
77094
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171070
—
LA
01
—
332740YH58
MEDICARE
LA
Enumeration date
10/03/2006
Last updated
05/29/2024
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