Individual
LISA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
Mailing address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
098104
CT
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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