Individual
LISA A LEMIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
80 SEYMOUR ST, HARTFORD HOSPITAL ORTHOPEDIC DEPT, HARTFORD, CT 06102
(860) 545-2245
Mailing address
HARTFORD HOSPITAL PROFESSIONAL SERVICES, PO BOX 40,000 DEPT 634, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001677
CT
363A00000X
Physician Assistant
PA2019
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003016771
—
CT
Enumeration date
09/21/2006
Last updated
04/02/2021
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