Individual
LISA LANDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
81 SPRING ST, CHESTER, CT 06412-1357
(860) 767-1505
Mailing address
81 SPRING ST, CHESTER, CT 06412-1357
(860) 767-1505
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003021
CT
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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