Individual
LISA T CANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,FACC
Contact information
Practice address
37 KENNEDY DRIVE, SUITE A, PUTNAM, CT 06260-1854
(860) 963-7519
(860) 963-0668
Mailing address
37 KENNEDY DR, SUITE A, PUTNAM, CT 06260-1946
(860) 963-7519
(860) 963-0668
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036843
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001368431
—
CT
Enumeration date
08/10/2005
Last updated
05/06/2008
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