Individual
DR. LISA C KUGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT 06107-2434
(860) 523-1087
(860) 523-1472
Mailing address
65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT 06107-2434
(860) 523-1087
(860) 523-1472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
031336
CT
207NS0135X
Procedural Dermatology Physician
Primary
031336
CT
Other
Enumeration date
06/15/2006
Last updated
06/16/2009
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