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Individual

DR. LYNN M FIRESTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
21 SOUTH RD, STE 112, FARMINGTON, CT 06032-2410
(860) 284-4940
(860) 284-4951
Mailing address
23 WORTHINGTON RD, GLASTONBURY, CT 06033-1372
(860) 633-5001

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
012
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4087294
CT
Enumeration date
05/31/2005
Last updated
03/12/2010
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