Provider Demographics
NPI:1811140122
Name:CALIRI, LOIS ANN
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:ANN
Last Name:CALIRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 COMSTOCK AVE
Mailing Address - Street 2:2C
Mailing Address - City:IVORYTON
Mailing Address - State:CT
Mailing Address - Zip Code:06442-1258
Mailing Address - Country:US
Mailing Address - Phone:860-767-1937
Mailing Address - Fax:
Practice Address - Street 1:20 COMSTOCK AVE
Practice Address - Street 2:2C
Practice Address - City:IVORYTON
Practice Address - State:CT
Practice Address - Zip Code:06442-1258
Practice Address - Country:US
Practice Address - Phone:860-767-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier