Lack, Sylvia
Lack, Sylvia is an individual health care provider with primary practice located at Gaylord Farms Rd. , Wallingford CT 06492. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lack, Sylvia can be contacted via phone (203) 284-2800.Contact Information
Primary practice address
Gaylord Farms Rd.
Wallingford CT 06492
Phone: (203) 284-2800
Fax: (203) 679-3598
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 018377 | Connecticut |
Profile Details
NPI number | 1568443281 |
---|---|
LBN Legal business name | Lack, Sylvia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2005 |
Last updated | Jan 19th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568443281 | NPPES |
Connecticut | MEDICAID | 1183771 |
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