Individual
LIDA ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LO
Contact information
Practice address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-5747
Mailing address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-5747
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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