Individual
MRS. LAKIN H SHOSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1305 POST RD, #103, FAIRFIELD, CT 06824
(203) 319-0700
Mailing address
138 FIGLAR AVE, FAIRFIELD, CT 06824
(203) 255-5875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000801
CT
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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