Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 001300 | CT |
NPI | 1124394630 |
---|---|
Provider Name | Lois Steckler |
First Address | Greenwich, CT 06830-4608 |
Second Address | Greenwich, CT 06830-4608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 29/03/2012 |