Individual
LUCILLA COOPER WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(864) 437-3278
Mailing address
15 VALLEY DR, GREENWICH, CT 06831-5205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12.010999
CT
Other
Enumeration date
01/06/2023
Last updated
09/06/2023
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