Individual
MRS. LORI EVELYN DEMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
114 E MAIN ST, CLINTON, CT 06413-2131
(860) 664-0787
(860) 664-1982
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 347-6971
(860) 343-7371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E56954
CT
163W00000X
Registered Nurse
RN.0160910
CO
363LF0000X
Family Nurse Practitioner
Primary
14537
CT
363LF0000X
Family Nurse Practitioner
APN.0991458-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026489
KAISER COMMERCIAL NUMBER
CO
05
—
59230843
—
CO
Enumeration date
04/03/2015
Last updated
01/15/2026
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