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Individual

ALISON LORI CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
109 BOSTON POST RD, ORANGE, CT 06477-3235
(203) 891-0655
Mailing address
119 TUTTLE ST, BRISTOL, CT 06010-6857
(860) 819-5974

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003096
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396398061
BUSINESS NPI
Enumeration date
02/20/2007
Last updated
09/15/2023
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