Individual
ALLISA LAFORD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 N FRONTAGE ROAD, WITHIN UNITED SERVICES INC. ROOM 171, MANSFIELD, CT 06250-0625
(860) 455-4245
(860) 757-5885
Mailing address
26 ORANGE ST, DANIELSON, CT 06239-2617
(860) 315-0471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014126
CT
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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