Individual
MS. LISA MARIE LAVORGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 867-5437
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 867-5437
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006328
CT
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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