Individual
MS. CAROL LEE LAFAUCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
245 LONG HILL RD, MIDDLETOWN, CT 06457-4063
(866) 552-9292
Mailing address
53 BRONSON RD, POB 7145, PROSPECT, CT 06712-1000
(203) 758-0230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000570
CT
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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