Individual
DR. ELLEN FARMER LANCTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
19 SOUTH MAIN ST, EAST GRANBY, CT 06026
(860) 844-8804
Mailing address
19 SOUTH MAIN ST, EAST GRANBY, CT 06026-9103
(860) 844-8804
(860) 379-7911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000367
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000367CT01
ANTHEM
CT
Enumeration date
12/22/2006
Last updated
07/08/2007
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