Allisa Laford I

NPI #1598317422 in Mansfield, Connecticut

Provider Information

NPI Number: 1598317422
Entity Type: Individual
Name: Allisa Laford I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 11, 2019
Last Updated: Jul 11, 2019

Practice Location

Address: 140 N FRONTAGE ROAD
Address 2: WITHIN UNITED SERVICES INC. ROOM 171
City: Mansfield
State: Connecticut
ZIP Code: 06250-0625
Phone: (860) 455-4245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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