Individual
DR. LILLIAN OVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
144 MAIN ST, EAST HARTFORD, CT 06118
(860) 918-0069
Mailing address
144 MAIN ST, EAST HARTFORD, CT 06118
(860) 918-0069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035443
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010035443CT01
BCBS PROVIDER
CT
01
—
035443
CONNECTICARE PROVIDER
CT
01
—
0S0272
HEALTNET PROVIDER NUMBER
CT
05
—
1354430
—
CT
01
—
P1119365
OXFORD PROVIDER
CT
Enumeration date
05/30/2006
Last updated
03/17/2015
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