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Individual

LISA MACMASTER-JURZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3281
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5921
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235900
CT
01
C00712
MEDICARE
CT
Enumeration date
09/18/2014
Last updated
01/22/2026
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