MEDICARE: LANCELOT P MORGAN PA

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	363A00000X	Physician Assistant	001620	CT

General Provider Information

NPI Number	:	1265430219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANCELOT P MORGAN PA

Provider Business Mailing Address
First Line	:	99 E RIVER DR
Second Line	:	5TH FLOOR
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108-3288
Country	:	US
Telephone Number	:	860-282-4022
Fax Number	:	860-289-0742

Provider Business Practice Location Address
First Line	:	360 TOLLAND TPKE
Second Line	:	3C
City	:	MANCHESTER
State	:	CT
Zip	:	06042-1771
Country	:	US
Telephone Number	:	860-643-0063
Fax Number	:	860-643-3642

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	05/21/2012

Similar Medicare Providers

1700861473 — DR. ROBERT G SCHWARTZ M.D.
Practice Location Address:

360 TOLLAND TPKE
MANCHESTER, CT
06042-1771

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1720058886 — MRS. CYNTHIA D MCDUFFEE MA,CCC-A
Practice Location Address:

360 TOLLAND TPKE , 1E
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1487624078 — DR. MICHAEL J FRANKLIN M.D.
Practice Location Address:

360 TOLLAND TPKE , 1E
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06042-1771

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Practice Fax:

1457321796 — DR. DANIEL M VELTRI M.D
Practice Location Address:

360 TOLLAND TPKE , SUITE 3-C
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1700848090 — ROBERTA L. KLINE M.D.
Practice Location Address:

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1366404949 — PAMELA L. LEWIS M.D.
Practice Location Address:

360 TOLLAND TPKE , SUITE 3B
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Directions to “ LANCELOT P MORGAN PA” Practice Location

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