Individual
LISA PERREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 JOHNSON RD, TOLLAND, CT 06084-2122
(800) 995-2673
(888) 979-6551
Mailing address
34 JOHNSON RD, TOLLAND, CT 06084-2122
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84311
CT
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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