Individual
MS. LISA J BEDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
19 SPARROW DR, WESTERLY, RI 02891-4936
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003375
CT
363LF0000X
Family Nurse Practitioner
NPP37341
RI
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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