Doctor Name: | KIMBERLY A LAJOIE-RAY |
NPI Number: | 1053711226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.O. |
License Number: | 001608 |
Business Practice Address: | 1007 Farmington Ave Suite 16 West Hartford, CT - 061072133 |
Business Phone Number: | 8602327616 |
Business Fax Number: | 8602334565 |
Mailing Address: | 75 Ludlow Rd, WINDSOR |
State: | CT |
Postal Code: | 060953635 |
Phone Number: | 8602199947 |
Fax Number: | 8602199947 |
NPI Enumeration Date: | 08/25/2014 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 001608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |