Individual
LORI PELOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
57 PLAINS RD SUITE 1 A, UNIT 2, MILFORD, CT 06461-2573
(203) 465-6537
(203) 900-0672
Mailing address
619 GUERNSEYTOWN RD, WATERTOWN, CT 06795-1820
(203) 525-8052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005149
CT
363LF0000X
Family Nurse Practitioner
005149
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005149
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5149
CT
Other
Enumeration date
09/21/2012
Last updated
07/21/2023
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