Individual
LISA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 SEASIDE AVE, MILFORD, CT 06460-4603
(203) 876-4178
Mailing address
130 PORTER LN, ORANGE, CT 06477-3032
(203) 795-8344
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000473
CT
Other
Enumeration date
05/26/2006
Last updated
12/22/2015
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