Dr LORI L CICCONE PA is a female medical professional, specializing in Physician Assistant. She graduated in 2006.
GALES FERRY MEDICAL GROUP LLC
1527 ROUTE 12
GALES FERRY
CT
063351800
Tel: 8604647274
| Npi | 1205964426 |
| Pac Id | 2466557954 |
| Professional Enrollment Id | I20070411000315 |
| Last Name | CICCONE |
| First Name | LORI |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | GALES FERRY MEDICAL GROUP LLC |
| Group Practice Pac Id | 3971645359 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1527 ROUTE 12 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GALES FERRY |
| State | CT |
| Zip Code | 063351800 |
| Phone Number | 8604647274 |
| Hospital Affiliation Ccn 1 | 070007 |
| Hospital Affiliation Lbn 1 | LAWRENCE & MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 070024 |
| Hospital Affiliation Lbn 2 | WILLIAM W BACKUS HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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