Cynthia Booth Lord is a Medical in Lisbon, Connecticut. Cynthia Booth Lord practices all healthcare services and medical treatments related to Medical. The NPI Number for Cynthia Booth Lord is 1700888021. The last update date is 2009-11-19.
Cynthia Booth Lord's current location address is 2 Lee Rd, Lisbon, Connecticut. You can contact this provider via phone number 8603764451 and fax number 8603765977. The mailing address for Cynthia Booth Lord is 2 Lee Rd, Lisbon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia Booth Lord |
|---|---|
| Address | 2 Lee Rd, Lisbon, Connecticut |
| Phone Number | 8603764451 |
| Fax Number | 8603765977 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700888021 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2009-11-19 |
Provider Mailing Address Detail
| Address | 2 Lee Rd |
|---|---|
| City | Lisbon |
| State | Connecticut (CT) |
| Post Code | 63510 |
| Phone Number | 8603764451 |
| Fax Number | 8603765977 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 55 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2V3813 | HEALTHNET | ||
| 290000055CT01 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Cynthia Booth Lord by the Centers for Medicare & Medicaid Services?
The Cynthia Booth Lord has been assigned the NPI (National Provider Identifier) 1700888021. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Cynthia Booth Lord is physically located?
The Cynthia Booth Lord is physically situated at the following address: 2 Lee Rd, Lisbon, CT, 63510.
What is Cynthia Booth Lord's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cynthia Booth Lord is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700888021 to Cynthia Booth Lord?
The Cynthia Booth Lord received its 1700888021 assignment from the Centers for Medicare & Medicaid Services on 2005-06-01.
As of what date was the information regarding Cynthia Booth Lord, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cynthia Booth Lord, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-19.