Individual provider · Type 1 NPI

Lacey Bryn Luneau, PA-C

Medical Physician Assistant · Putnam, CT

NPI number 1972821270 Active

Practice location

320 Pomfret St
Putnam, CT 06260-1836

Call (860) 963-6486 Map

Mailing address

94 S Main St, Fl 1
Putnam, CT 06260-1908

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002398 (CT)
Medical Physician Assistant Primary 363AM0700X002398 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1972821270

Lacey Bryn Luneau, PA-C's National Provider Identifier is 1972821270, issued on May 11, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Putnam, CT. The record was last updated on Oct 16, 2014.