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Individual

DR. LEE M. HURNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
125 MONTOWESE ST, BRANFORD, CT 06405-3809
(203) 481-8969
(203) 483-8106
Mailing address
125 MONTOWESE ST, BRANFORD, CT 06405-3809
(203) 481-8969
(203) 483-8106

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000087
CT
332B00000X
Durable Medical Equipment & Medical Supplies
000087
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480001047
ST RAPHAEL FACULTY PHYSICIAN MEDICARE
CT
Enumeration date
10/19/2005
Last updated
03/20/2012
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