Individual
MALISA LYNN LAHTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
70 SHUNPIKE RD, SUITE 301, CROMWELL, CT 06416
(860) 358-5280
(860) 358-8650
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4870
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001451393
—
CT
Enumeration date
03/08/2007
Last updated
11/05/2025
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