Individual
MRS. LISA A MANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
002333
CT
363AM0700X
Medical Physician Assistant
Primary
2333
CT
Other
Enumeration date
10/21/2009
Last updated
03/11/2011
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