person
Ms. Lori A Ustico, BOCABCCERTIFIED
Prosthetics Case Management in Canaan, Connecticut
NPI 1467586412

Lori A Ustico is a Prosthetics Case Management based in Canaan, CT and is specialized in Prosthetics Case Management. Lori A Ustico practices in Canaan, CT and has the professional credentials of BOCABCCERTIFIED. The NPI Number for Lori A Ustico is 1467586412 and holds a License No. D16532 BOC (Connecticut).

The current practice location address for Lori A Ustico is 170 Railroad St, Canaan, CT and can be reached out via phone at 860-824-7510 and via fax at 866-686-1517.

Location: 170 Railroad St, Canaan, CT, 06018-2011
person
Provider Profile Details
NPI Number
1467586412
Provider Name
Lori A Ustico
Credential
BOCABCCERTIFIED
Provider Entity Type
Individual
Gender
Female
Address
170 Railroad St, Canaan, CT, 06018-2011
Phone Number
860-824-7510
Fax Number
866-686-1517
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2733042 01 CT AETNA PROVIDER NUMBER
12DME0614CT01 01 CT BLUE CROSS PROVIDER NUMBE
institution
Provider Business Practice Location Address Details
Address
170 Railroad St
City
State
Zip
06018-2011
Phone Number
860-824-7510
Fax Number
866-686-1517
person
Provider Business Mailing Address Details
Address
170 Railroad St
City
State
Zip
06018-2011
Phone Number
860-824-7510
Fax Number
866-686-1517
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
D16532 BOC (Connecticut)
Definition
Definition to come...
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