Individual
MRS. LISA JANE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-7952
Mailing address
85 BAXTER ST, STRATFORD, CT 06615-7606
(203) 449-5116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001108
CT
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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