LORI MARIE DE LA PORTILLA DO
Individual Provider (NPI-1)
Active
Internal Medicine, Endocrinology, Diabetes & Metabolism
Provider Information
- NPI Number
1134562911- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 462 QUEEN ST # 303, SOUTHINGTON, CT, 064891801
- Phone
- (305) 281-6686
Specialties & Taxonomies
Internal Medicine, Endocrinology, Diabetes & Metabolism
Primary License: CT #63628
All Addresses
MAILING
462 QUEEN ST STE 303
SOUTHINGTON, CT, 064891801