Individual
MS. LOIS HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6 NORTHWESTERN DR, BLOOMFIELD, CT 06002-3463
(860) 242-8330
(860) 242-5027
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000685
CT
Other
Enumeration date
08/11/2006
Last updated
10/04/2007
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