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

Lori Lynn Ciccone, PA

Individual provider Physician Assistant · NPI 1205964426

Lori Lynn Ciccone, PA is a Physician Assistant in Guilford, Connecticut. Qualified in 2006, 20 years ago. Practices with The William W Backus Hospital, a 247-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
20
Licensed in
CT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

350 Goose Ln Ste 203B
Guilford, CT 06437-2492
Phone: (203) 932-6481
Fax: (039) 324-0512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001888 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 001888 (CT)

Record details

NPI number1205964426
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2007
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Guilford