Provider Demographics
NPI:1811018401
Name:MORTON, LOIS ANN (MD)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:ANN
Last Name:MORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BENEDICT PL
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5358
Mailing Address - Country:US
Mailing Address - Phone:203-622-6551
Mailing Address - Fax:203-595-9546
Practice Address - Street 1:2 BENEDICT PL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5358
Practice Address - Country:US
Practice Address - Phone:203-622-6551
Practice Address - Fax:203-595-9546
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0265082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry