Individual
LISA AZINHEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
112 S WHITNEY ST, HARTFORD, CT 06105-4123
(860) 523-0339
(860) 523-0310
Mailing address
86 DEPAUW CIR, EAST HARTFORD, CT 06108-1315
(860) 289-8180
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001476
CT
Other
Enumeration date
04/12/2007
Last updated
07/09/2007
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