MEDICARE: PROF. JANET MEAD LANCI L.P.C.

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	101YP2500X	Professional Counselor	001260	CT

General Provider Information

NPI Number	:	1912141672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. JANET MEAD LANCI L.P.C.

Provider Business Mailing Address
First Line	:	161 PINES BRIDGE RD
Second Line	:
City	:	BEACON FALLS
State	:	CT
Zip	:	06403-1017
Country	:	US
Telephone Number	:	203-243-1735
Fax Number	:	203-888-9063

Provider Business Practice Location Address
First Line	:	161 PINES BRIDGE RD
Second Line	:
City	:	BEACON FALLS
State	:	CT
Zip	:	06403-1017
Country	:	US
Telephone Number	:	203-243-1735
Fax Number	:	203-888-9063

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

Provider Enumeration Date	:	04/26/2009
Last Update Date	:	04/26/2009

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