Individual
LISA MARIE GRONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
339 W MAIN ST, AVON, CT 06001-4322
(860) 696-2150
(860) 696-2160
Mailing address
339 W MAIN ST, AVON, CT 06001-4322
(860) 696-2150
(860) 696-2160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054041
CT
Other
Enumeration date
04/12/2010
Last updated
08/29/2016
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