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Mrs. Lakesha I Lord-sunamoto, MSOTR/L,CLT
Specialist in Farmington, Connecticut
NPI 1134191992

Lakesha I Lord-sunamoto is a Specialist based in Vancouver, CT. Lakesha I Lord-sunamoto practices in Farmington, CT and has the professional credentials of MSOTR/L,CLT. The NPI Number for Lakesha I Lord-sunamoto is 1134191992 and holds a License No. 002842 (Connecticut).

The current practice location address for Lakesha I Lord-sunamoto is 231 Farmington Ave, Farmington, CT and can be reached out via phone at 860-677-0005 and via fax at 860-677-2727.

Location: 231 Farmington Ave, Farmington, CT, 98661-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134191992
Provider Name
Lakesha I Lord-sunamoto
Credential
MSOTR/L,CLT
Provider Entity Type
Individual
Gender
Female
Address
231 Farmington Ave, Farmington, CT, 98661-4702
Phone Number
860-677-0005
Fax Number
860-677-2727
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011116 01 CT HEALTHNET
753168105 01 CT NORTHEAST HEALTHCARE
7788774 01 AETNA
11116 01 CT CIGNA
11544836 01 CT PROVIDER CAQH ID
130002842CT01 01 CT ANTHEM BLUE CROSS BLUE SH
institution
Provider Business Practice Location Address Details
Address
231 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1915
Phone Number
860-677-0005
Fax Number
860-677-2727
person
Provider Business Mailing Address Details
Address
231 Farmington Ave
City
Farmington
State
Connecticut
Zip
06032-1915
Phone Number
860-677-0005
Fax Number
860-677-2727
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
002842 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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