Individual
LISA D COPLIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5440
Mailing address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(203) 582-6493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006AS06491
MEDICARE
NY
Enumeration date
07/05/2006
Last updated
02/18/2020
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