Individual
LOLITA LIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3300
(860) 545-5000
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673526-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
8584
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
673526-1
REGISTERED NURSE
NY
Enumeration date
02/23/2019
Last updated
01/11/2021
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