Cynthia Booth Lord, PA-C is a
Physician Assistant - Medical based in Lisbon, Connecticut. Cynthia Booth Lord is licensed to practice in Connecticut (license number 000055) and her current practice location is
2 Lee Rd, Lisbon, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 376-4451.
NPI number for Cynthia Booth Lord is 1700888021 and her current mailing address is 2 Lee Rd, Lisbon, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700888021.
Provider's Profile
Full Name | Cynthia Booth Lord |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 2 Lee Rd, Lisbon, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700888021
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 11/19/2009
Medical Identifiers
Medical identifiers for Cynthia Booth Lord such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700888021 | NPI | - | NPPES |
2V3813 | Other | | HEALTHNET |
290000055CT01 | Other | | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 000055 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cynthia Booth Lord is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cynthia Booth Lord, PA-C 2 Lee Rd, Lisbon, CT 06351 Ph: (860) 376-4451 | Cynthia Booth Lord, PA-C 2 Lee Rd, Lisbon, CT 06351 Ph: (860) 376-4451 |
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