Individual
MRS. LISA KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 WOODBURY RD, WATERTOWN, CT 06795-2130
(860) 945-7777
(860) 945-7766
Mailing address
110 WOODBURY RD, WATERTOWN, CT 06795-2130
(860) 945-7777
(860) 945-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000408
CT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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