Individual provider · Type 1 NPI

Lori Lynn Calavan, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1356382147 Active

Practice location

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Fax (860) 714-8311

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082

Other practice locations

  • 263 Farmington Avenue, Farmington, CT 06030-0001 · (860) 679-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X001000962 (NC)
Surgical Physician Assistant Primary 363AS0400X1924 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1356382147

Lori Lynn Calavan, PA-C's National Provider Identifier is 1356382147, issued on Jun 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on May 22, 2024.