Provider Demographics
NPI:1275819252
Name:PANIATI, LORIE ANN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORIE
Middle Name:ANN
Last Name:PANIATI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WHITBECK RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06057-3216
Mailing Address - Country:US
Mailing Address - Phone:860-482-5698
Mailing Address - Fax:
Practice Address - Street 1:28 E ELM ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-5016
Practice Address - Country:US
Practice Address - Phone:860-482-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-23
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0006980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist