Provider Demographics
NPI:1609071547
Name:VARNAS, IOVITA (LICAC)
Entity type:Individual
Prefix:MRS
First Name:IOVITA
Middle Name:
Last Name:VARNAS
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 REICHERT CIR
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2642
Mailing Address - Country:US
Mailing Address - Phone:203-722-5221
Mailing Address - Fax:203-557-3646
Practice Address - Street 1:21 REICHERT CIR
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-2642
Practice Address - Country:US
Practice Address - Phone:203-722-5221
Practice Address - Fax:203-557-3646
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000019171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist