Individual
MARY ROSE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 DOUBLE BEACH RD, BRANFORD, CT 06405-4918
(203) 687-5978
Mailing address
494 ELM ST, STAMFORD, CT 06902-5115
(203) 687-5978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E46899
CT
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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