Individual
LISA S LETELLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION, WEST HAVEN, CT 06516-2770
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34583
SC
Other
Enumeration date
06/03/2008
Last updated
01/13/2014
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