| NPI Details | |
|---|---|
| NPI | 1053390179 |
| Gender | Female |
| Enumeration Date | 01/17/2006 |
| Last Updated | 06/27/2014 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 28 CRESCENT ST MIDDLETOWN CT, 06457-3654, US |
|
| Phone | (860) 358-5322 |
| Fax | (860) 358-6298 |
| Business Location | |
|---|---|
| 28 CRESCENT ST MIDDLETOWN CT, 06457-3654, US |
|
| Phone | (860) 358-5322 |
| Fax | (860) 358-6298 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208M00000X |
| License State | Connecticut |
| License Number | 035550 |
| Remove 1053390179 NPI Number | |
According to our database, Lisa Ochola-tinker M.D. NPI is 1053390179, taxonomy code is 208M00000X and license number is 035550, license state is located at Connecticut. Lisa Ochola-tinker M.D. physically located at 28 Crescent St, Middletown CT, 06457-3654. NPI Number Lisa Ochola-tinker M.D. has the Individual type.
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1053390179 NPI number is provided on an as is basis without warranty of any kind. 1053390179 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ochola-tinker M.D. are for informational purposes only.
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