MEDICARE: LINDSEY LOSTIMOLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1124519244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY LOSTIMOLO

Provider Business Mailing Address
First Line	:	331 WETHERSFIELD AVE STE 2
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06114-1438
Country	:	US
Telephone Number	:	860-236-4511
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 WETHERSFIELD AVE STE 2
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06114-1436
Country	:	US
Telephone Number	:	860-236-4511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	10/21/2024

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Directions to “ LINDSEY LOSTIMOLO ” Practice Location

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