Luneau, Lacey Bryn

Luneau, Lacey Bryn is an individual health care provider with primary practice located at 320 Pomfret St , Putnam CT 06260-1836. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Luneau, Lacey Bryn can be contacted via phone (860) 963-6486.

Contact Information

Primary practice address
320 Pomfret St Putnam CT 06260-1836
Phone: (860) 963-6486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002398 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002398 Connecticut

Profile Details

NPI number 1972821270
LBN Legal business name Luneau, Lacey Bryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2010
Last updated Oct 16th, 2014 - about 11 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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