Individual
LISA ELECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
361 MAIN ST, MANCHESTER, CT 06040-4127
(860) 646-9929
(860) 646-7999
Mailing address
361 MAIN ST, MANCHESTER, CT 06040-4127
(860) 646-9929
(860) 646-7999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002904
CT
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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