Individual
LINDSAY DEGRASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODLAND STREET, HARTFORD, CT 06105
(860) 714-6654
Mailing address
114 WOODLAND STREET, HARTFORD, CT 06105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5207
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
11/07/2012
Last updated
04/25/2014
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