Lori C Stetz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

043780 Issued in CT

Practice address

1291 Boston Post Rd
Suite 105
Madison, CT 06443-3476

Phone

(203) 245-1413

Fax

(203) 318-0814

NPI assigned

Oct 13, 2006

Last updated

Jan 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1326138108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4819",
            "fax_number": "860-358-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BOSTON POST RD",
            "address_2": "SUITE 105",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433476",
            "telephone_number": "203-245-1413",
            "fax_number": "203-318-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZ",
        "first_name": "LORI",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "043780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437806",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Sparago
• Speech of Madison, LLC
• Claire Abigail Spinks, COTA
• Erin S. Springhorn, M.D.
• Staywell Stress Management LLC
• Judith Coursen Stevens, LCSW
• Elizabeth M Strazar, MA, LPC
• Leslie E Sude, MD
• Sunshine Wellness LLC
• Sydney Rae Sutcliffe, LCSW

• Family Medicine Physician in Madison, CT
• Providers in Madison, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.