Individual
DR. LISA C. DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2131 KIRKWOOD BLVD STE 100, SOUTHLAKE, TX 76092-1540
(817) 210-4856
Mailing address
11 HIGH POINT LN, WEST HARTFORD, CT 06107-1136
(203) 770-1357
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029445
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D300062724
MEDICARE PTAN -
CT
Enumeration date
10/05/2006
Last updated
03/10/2025
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