Individual
LISA DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
125 WINTERGREEN AVE, NEW HAVEN, CT 06515-1059
(203) 392-6007
Mailing address
125 WINTERGREEN AVE, NEW HAVEN, CT 06515-1059
(203) 392-6007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
54.001391
CT
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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