Individual
MR. ERIK GILLES LEMOULLEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., FCAMI
Contact information
Practice address
3 POMPERAUG OFFICE PARK STE 103, SOUTHBURY, CT 06488-2287
(203) 263-0411
(203) 841-1012
Mailing address
3 POMPERAUG OFFICE PARK, STE 103, SOUTHBURY, CT 06488-2287
(203) 263-0411
(203) 841-1012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001765
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043787
—
CT
01
—
D00000897
MEDICARE PROVIDER ID
CT
Enumeration date
06/30/2008
Last updated
12/02/2020
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