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Cynthia Booth Lord, PA-C
Medical Physician Assistant in Lisbon, Connecticut
NPI 1700888021

Cynthia Booth Lord is a Medical Physician Assistant based in Lisbon, CT and is specialized in Medical. Cynthia Booth Lord practices in Lisbon, CT and has the professional credentials of PA-C. The NPI Number for Cynthia Booth Lord is 1700888021 and holds a License No. 000055 (Connecticut).

The current practice location address for Cynthia Booth Lord is 2 Lee Rd, Lisbon, CT and can be reached out via phone at 860-376-4451 and via fax at 860-376-5977. You can also correspond with Cynthia Booth Lord through the mailing address at 2 LEE RD, LISBON, CT - 06351 (mailing address contact number: 860-376-4451).

Location: 2 Lee Rd, Lisbon, CT, 06351
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Provider Profile Details
NPI Number
1700888021
Provider Name
Cynthia Booth Lord
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2 Lee Rd, Lisbon, CT, 06351
Phone Number
860-376-4451
Fax Number
860-376-5977
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2V3813 01 HEALTHNET
290000055CT01 01 BCBS
institution
Provider Business Practice Location Address Details
Address
2 Lee Rd
City
State
Zip
06351
Phone Number
860-376-4451
Fax Number
860-376-5977
person
Provider Business Mailing Address Details
Address
2 Lee Rd
City
State
Zip
06351
Phone Number
860-376-4451
Fax Number
860-376-5977
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000055 (Connecticut)
Definition
Definition to come...
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