Individual
DR. LANFORD PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 WEST RD, ELLINGTON, CT 06029-3777
(860) 872-7854
Mailing address
105 WEST RD, ELLINGTON, CT 06029-3777
(860) 872-7854
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
037537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013753379
—
CT
Enumeration date
07/26/2006
Last updated
07/21/2022
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