KIMBERLY J LANE

PUTNAM, CT
NPI1093765232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  000708)
Enumeration Date2006-05-10
Last Update Date2019-10-01
Business Address
KIMBERLY J LANE APRN
320 POMFRET ST
PUTNAM, CT 06260-1836
Phone number: 860-928-6541
Mailing Address
KIMBERLY J LANE APRN
320 POMFRET ST
PUTNAM, CT 06260-1836
Phone number: 860-928-6541
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