Individual
MRS. LISA S. ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002144
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
002144
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002144
LICENSE
CT
Enumeration date
06/28/2006
Last updated
07/14/2015
Update your record
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