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Individual

MRS. CANDACE I LUMIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
323 CROMWELL AVE, ROCKY HILL, CT 06067-1801
(860) 384-9666
Mailing address
323 CROMWELL AVE, ROCKY HILL, CT 06067
(860) 384-9666

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4793
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004041000
CT
05
004082260
CT
05
004082286
CT
05
004217099
CT
05
008001325
CT
05
008003745
CT
05
008022622
CT
05
008022626
CT
05
008023170
CT
05
008024427
CT
05
008039745
CT
05
008042339
CT
05
500000315
CT
01
C01033
APT FOUNDATION PTAN
CT
01
D400081205
GROUP MEMBER MEDICARE
CT
Enumeration date
07/26/2012
Last updated
07/21/2022
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