De La Portilla, Lori Marie

De La Portilla, Lori Marie is an individual health care provider with primary practice located at 462 Queen St # 303 , Southington CT 06489-1801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. De La Portilla, Lori Marie can be contacted via phone (305) 281-6686.

Contact Information

Primary practice address
462 Queen St # 303 Southington CT 06489-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 63628 Connecticut

Profile Details

NPI number 1134562911
LBN Legal business name De La Portilla, Lori Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Jan 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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