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Individual

LISA L MCDERMOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13 CROW HILL RD, UNCASVILLE, CT 06382-1118
(860) 862-6302
Mailing address
7 GEORGE ST, CROMWELL, CT 06416-1627
(868) 609-9595

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123663
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16082
CT

Other

Enumeration date
10/13/2025
Last updated
04/06/2026
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