Individual
LISA M GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, MBA, CDE
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-4737
(860) 444-4775
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-4737
(860) 444-4775
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
076588
CT
Other
Enumeration date
07/08/2009
Last updated
05/27/2011
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