Individual provider · Type 1 NPI

Lena Mullally, D.O

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1700129558 Active

Practice location

263 Farmington Ave
Farmington, CT 06032-1956

Call (860) 679-2839 Map

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X71979 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700129558

Lena Mullally, D.O's National Provider Identifier is 1700129558, issued on Mar 30, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Aug 19, 2022.