| Lori Pace Llc | |
|
16 Rockmeadow Rd Apt R Norwalk CT 06850-2847 | |
| (203) 957-5353 | |
| Not Available |
| Full Name | Lori Pace Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 Rockmeadow Rd Apt R, Norwalk, Connecticut |
| Authorized Official Name and Position | Lori Pace (OWNER) |
| Authorized Official Contact | 2039575353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Pace Llc 16 Rockmeadow Rd Apt R Norwalk CT 06850-2847 Ph: () - | Lori Pace Llc 16 Rockmeadow Rd Apt R Norwalk CT 06850-2847 Ph: (203) 957-5353 |
| NPI Number | 1831943653 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831943653 | NPI | - | NPPES |
| CBHP0010715 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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