Lori Marie De La Portilla, DO | |
462 Queen St # 303, Southington, CT 06489-1801 | |
(305) 281-6686 | |
Not Available |
Full Name | Lori Marie De La Portilla |
---|---|
Gender | Female |
Speciality | Endocrinology |
Experience | 11 Years |
Location | 462 Queen St # 303, Southington, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134562911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 63628 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Hospital Of Central Connecticut | New britain, CT | Hospital |
Midstate Medical Center | Meriden, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1180 |
The Hospital Of Central Connecticut At New Britain General And Bradley | 6507776564 | 333 |
Entity Name | The Hospital Of Central Connecticut At New Britain General And Bradley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
---|---|
Lori Marie De La Portilla, DO 462 Queen St, Ste 303, Southington, CT 06489-1801 Ph: () - | Lori Marie De La Portilla, DO 462 Queen St # 303, Southington, CT 06489-1801 Ph: (305) 281-6686 |
Mr. Letterio Asciuto, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 70 Meriden Ave, Southington, CT 06489 Phone: 860-628-6696 Fax: 860-628-2329 | |
Dr. Andrew D Guest, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 171 Liberty St, Southington, CT 06489 Phone: 860-628-0343 Fax: 860-628-0543 | |
Vincent M Leone, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1115 West St, Southington, CT 06489 Phone: 860-276-6000 | |
Joshua Rock, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 55 Meriden Ave, Suite 3g, Southington, CT 06489 Phone: 860-276-5304 Fax: 860-276-5344 | |
Dr. Katarzyna J. Wadolowski, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 209 Main St, Southington, CT 06489 Phone: 860-329-0401 Fax: 860-620-5118 | |
Mr. Ralph Prezioso Jr., MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 70 Meriden Ave, Southington, CT 06489 Phone: 860-628-6696 Fax: 860-628-2329 |