LORI MARIE DE LA PORTILLA

SOUTHINGTON, CT
NPI1134562911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: CT  63628)
Enumeration Date2013-04-11
Last Update Date2020-01-24
Business Address
LORI MARIE DE LA PORTILLA DO
462 QUEEN ST # 303
SOUTHINGTON, CT 06489-1801
Phone number: 305-281-6686
Mailing Address
LORI MARIE DE LA PORTILLA DO
462 QUEEN ST STE 303
SOUTHINGTON, CT 06489-1801
Phone number:
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