Individual
DR. LYDIA R. ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 808-8748
(860) 808-1580
Mailing address
30 LOEFFLER RD, BLOOMFIELD, CT 06002-2256
(860) 513-5420
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
001256
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004176493
—
CT
Enumeration date
07/19/2006
Last updated
11/05/2019
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