Individual
ANN LORRAINE HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
170 GRANDVIEW AVE, WATERBURY, CT 06708-2525
(203) 759-3666
(203) 759-3671
Mailing address
170 GRANDVIEW AVE, WATERBURY, CT 06708-2525
(203) 759-3666
(203) 759-3671
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
001733
CT
363AS0400X
Surgical Physician Assistant
001733
CT
Other
Enumeration date
07/17/2006
Last updated
02/26/2008
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