Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bhoowit Lerttiendamrong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396636965

Bhoowit Lerttiendamrong is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2025
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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 282-3894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CT)

Record details

NPI number1396636965
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2025
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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