Individual
LISA L MALACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
397 WALNUT ST, APT. 3, WATERBURY, CT 06704-3706
(203) 568-0887
Mailing address
397 WALNUT ST, APT. 3, WATERBURY, CT 06704-3706
(203) 568-0887
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
063637
NC
164W00000X
Licensed Practical Nurse
272449-1
NY
Other
Enumeration date
01/01/2007
Last updated
09/11/2025
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