Provider Information for 1508343542
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LORI ANN VANMETER Ph.D.
Sex: Female
NPI: 1508343542
Last Updated: 2018-08-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508343542 | ||||||||
| Enumeration Date | 2018-07-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 90 HIGHLAND DR AMSTON, CT 06231 United States Phone: 860-338-4662 | Fax: | ||||||||
| Primary Practice Address | 155 STORRS RD # A MANSFIELD CENTER, CT 06250 United States Phone: 860-456-4442 | Fax: | ||||||||
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