Kulesa, Lorraine T

Kulesa, Lorraine T is an individual health care provider with primary practice located at 320 Western Blvd Suite 102, Glastonbury CT 06033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kulesa, Lorraine T can be contacted via phone (860) 633-9235.

Contact Information

Primary practice address
320 Western Blvd Suite 102 Glastonbury CT 06033
Phone: (860) 633-9235
Fax: (860) 657-2781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 000051 Connecticut

Profile Details

NPI number 1235277252
LBN Legal business name Kulesa, Lorraine T
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Aug 10th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235277252 NPPES
Connecticut MEDICAID 00417456200
Connecticut Other 400APRNSICT01

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