Stetz, Lori C

Stetz, Lori C is an individual health care provider with primary practice located at 1291 Boston Post Rd Suite 105, Madison CT 06443-3476. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stetz, Lori C can be contacted via phone (203) 245-1413.

Contact Information

Primary practice address
1291 Boston Post Rd Suite 105 Madison CT 06443-3476
Fax: (203) 318-0814
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 043780 Connecticut

Profile Details

NPI number 1326138108
LBN Legal business name Stetz, Lori C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jan 27th, 2009 - about 16 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 1326138108 NPPES
Connecticut MEDICAID 1437806

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