Individual
MS. LISA M SAGNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 CEDAR ST, TMP 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Mailing address
275 MIRROR LN, GUILFORD, CT 06437-1940
(203) 458-2396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
004552
CT
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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