Life'S Precious Moments

Primary specialty

SpecialistTaxonomy code 174400000X

License

008856 Issued in CT

Legal business name

LIFE'S PRECIOUS MOMENTS

Practice address

503 Wolcott Rd
Wolcott, CT 06716-2673

Phone

(203) 441-4371

Fax

(203) 441-4375

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Lenese Robinson, LM

Title

Director

Phone

(203) 435-6468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1457712820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162673",
            "telephone_number": "203-441-4371",
            "fax_number": "203-441-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162673",
            "telephone_number": "203-441-4371",
            "fax_number": "203-441-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S PRECIOUS MOMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LENESE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-435-6468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "008856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.