LORI LYNN CICCONE PA NPI 1205964426

NPI Information

NPI: 1205964426
Provider Name: LORI LYNN CICCONE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: GALES FERRY MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
330 WASHINGTON ST
GENERATIONS FAMILY HEALTH CENTER
NORWICH, CT
ZIP 06360
Phone: (860) 885-1308
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Lori Lynn Ciccone, PA is a medical physician assistant in Norwich, CT with 18 years of experience. Lori Lynn Ciccone, PA NPI is 1205964426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 WASHINGTON ST
GENERATIONS FAMILY HEALTH CENTER
NORWICH, CT
ZIP 06360-700
Phone: (860) 885-1308
Fax: (860) 885-1972

The NPI 1205964426 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 5/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		001888	CONNECTICUT	No
2	363AM0700X	Physician Assistant	Medical	001888	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001888	OTHER	CONNECTICUT	LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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