Lisan Do APRN

NPI 1700285673 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1700285673
Gender Female
Enumeration Date 08/17/2014
Last Updated 08/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
20 BELROSE AVE
SOUTHINGTON CT, 06489-3602, US
Phone (203) 788-5280
Fax
Business Location
20 BELROSE AVE
SOUTHINGTON CT, 06489-3602, US
Phone (203) 788-5280
Fax
Toxanomy
Taxonomy Code 363LG0600X
License State Connecticut
License Number 5845
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According to our database, Lisan Do APRN NPI is 1700285673, taxonomy code is 363LG0600X and license number is 5845, license state is located at Connecticut. Lisan Do APRN physically located at 20 Belrose Ave, Southington CT, 06489-3602. NPI Number Lisan Do APRN has the Individual type.

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1700285673 NPI number is provided on an as is basis without warranty of any kind. 1700285673 is maintained by the National Plan & Provider Enumeration System. The contents of Lisan Do APRN are for informational purposes only.