Individual
MISS LANI FRANCES RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 721-5731
Mailing address
46 W AVON RD STE 301, AVON, CT 06001-3679
(860) 404-2047
(860) 470-3198
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003477
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699862912
—
CT
Enumeration date
10/06/2006
Last updated
07/08/2022
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