Lori M De La Portilla (NPI# 1134562911, PAC ID# 4486975919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1134562911 |
| PAC ID by PECOS | 4486975919 |
| Professional Enrollment ID | I20190726001776 |
| Full Name | Lori M De La Portilla |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
462 Queen St Suite 303 Southington CT 06489-1801 |
| Phone Number | 8602245672 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 462 Queen St, Suite 303, Southington, CT 06489-1801 | 8602245672 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Laurie Giemza | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Regina K Stuart | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 5 Founders St, Suite 102, Willimantic, CT 06226-2050 |
| Marko Lujic | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 183 N Mountain Rd, New Britain, CT 06053-4325 |
| Rebecca L. Russo | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 339 W Main St, Avon, CT 06001-4322 |
| Marybeth A Moore | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jillian M Kalinchak | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 164 Otrobando Ave, Norwich, CT 06360-2116 |
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Kathleen Kurowski | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 12 Case St, Suite 313, Norwich, CT 06360-2222 |
| Street Address |
462 QUEEN ST SUITE 303 |
| City | SOUTHINGTON |
| State | CT |
| Zip | 06489-1801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose R Orellana | Internal Medicine | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Terrence K Donahue | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 462 Queen St, Suite 201, Southington, CT 06489-1801 |
| Brian Wong | Neurology | Hartford Healthcare Medical Group Specialists LLC | 462 Queen St, Suite 201, Southington, CT 06489-1801 |
| Michael A Sposato | Physician Assistant | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Apeksha Vachhani | Family Medicine | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Lindsay Osborne | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 462 Queen St, Southington, CT 06489-1801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirmala Panwar | General Practice | 1783 Meriden Waterbury Tpke, M13, Southington, CT 06489 | |
| Christina Ford | Chiropractic | 1850 W St, Suite 2, Southington, CT 06489-1029 | |
| Li Zhu | Family Medicine | 1271 Flanders Rd, Southington, CT 06489-1614 | |
| David S Beck | Physician Assistant | Urgent Care of Southington LLC | 365 Queen St, Suite 4, Southington, CT 06489-1884 |
| Stacey K Raya | Chiropractic | Advanced Back Center | 200 Queen St, Southington, CT 06489-1901 |
| Jeana N Forant | Chiropractic | Advanced Back Center | 200 Queen St, Southington, CT 06489-1901 |
| Marcus P Yancoskie | Chiropractic | Advanced Back Center | 200 Queen St, Southington, CT 06489-1901 |
| James Davis | Chiropractic | Advanced Back Center | 200 Queen St, Southington, CT 06489-1901 |
| Mandy Lock | Chiropractic | Advanced Back Center | 200 Queen St, Southington, CT 06489-1901 |
| Hannah Martin | Chiropractic | Advanced Back Center | 200 Queen St, Southington, CT 06489-1901 |
| Find all physicians in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | SOUTHINGTON + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Lori M De La Portilla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.