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Lacey Brandon
NPI 1417285909 · on the registry since 2009
Practice
- Address
- 77-79 Bishop Street
Waterbury, CT 06710 - Phone
- (203) 695-4917
- Organisation at this address
- Spectrum Professional Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut