Lori L Ciccone, PA
Physician Assistant, Medical in Guilford, Connecticut
1205964426- Practice location
- 350 Goose Ln Ste 203B, Guilford, CT 06437-2492
- Phone
- 203-932-6481
- Fax
- 039-324-0512
- Last updated
- December 8, 2023
Lori Lynn Ciccone is a Physician Assistant, Medical based in Guilford, CT. Lori Lynn Ciccone practices in Guilford, CT and has the professional credentials of PA. The NPI Number for Lori Lynn Ciccone is 1205964426 and holds a License No. 001888 (CT). The current practice location address for Lori Lynn Ciccone is 350 Goose Ln Ste 203B, Guilford, CT 06437-2492 and can be reached out via phone at 203-932-6481 and via fax at 039-324-0512.
Provider Profile Details
- NPI Number
- 1205964426
- Provider Name
- Lori Lynn Ciccone
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 350 Goose Ln Ste 203B, Guilford, CT 06437-2492
- Phone Number
- 203-932-6481
- Fax Number
- 039-324-0512
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 1, 2007
- Last Update Date
- December 8, 2023
- Certification Date
- December 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 Goose Ln Ste 203B
Guilford, CT 06437-2492 - City
- Guilford
- State
- Connecticut
- Zip
- 06437-2492
- Phone Number
- 203-932-6481
- Fax Number
- 039-324-0512
Provider Business Mailing Address Details
- Address
- 322 E Main St Ste 1B
Branford, CT 06405-3136 - City
- Branford
- State
- CT
- Zip
- 06405-3136
- Phone Number
- 034-887-2282
- Fax Number
- 203-204-1415
License Information
- License Number (1)
- 001888
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 001888
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lori L Ciccone, PA?
The NPI number of Lori L Ciccone, PA is 1205964426. It was assigned on March 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Lori L Ciccone, PA?
Lori L Ciccone, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001888.
Where does Lori L Ciccone, PA practice?
The practice location is 350 Goose Ln Ste 203B, Guilford, CT 06437-2492. The office can be reached at 203-932-6481 (phone) or 039-324-0512 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205964426 directly on the NPPES registry website.