Janis E Lucky Llc | |
410 State St Rm 5 North Haven CT 06473-3149 | |
(203) 747-8230 | |
Not Available |
Full Name | Janis E Lucky Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 410 State St Rm 5, North Haven, Connecticut |
Authorized Official Name and Position | Janis Elizabeth Lucky (OWNER) |
Authorized Official Contact | 2035370542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Janis E Lucky Llc 410 State St Rm 5 North Haven CT 06473-3149 Ph: () - | Janis E Lucky Llc 410 State St Rm 5 North Haven CT 06473-3149 Ph: (203) 747-8230 |
NPI Number | 1922665330 |
---|---|
Provider Enumeration Date | 05/21/2019 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922665330 | NPI | - | NPPES |
1760583496 | Other | INSURANCES | |
1760583496 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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