Organization
LAS MULTI MEDIA PRODUCTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE A SIUZDAK APRN (APRN)
(203) 206-6072
Entity
Organization
Contact information
Practice address
35 PORTER AVE, NAUGATUCK, CT 06770-1973
(203) 206-6072
(203) 206-6072
Mailing address
35 PORTER AVE, NAUGATUCK, CT 06770-1973
(203) 206-6072
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4587
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008056413
—
CT
Enumeration date
12/21/2017
Last updated
12/21/2017
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