Individual
LAKSHMI DEVI POLISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 275-6017
(203) 709-8689
Mailing address
PO BOX 1090, WINDSOR, CT 06095-6190
(800) 925-7270
(888) 331-1015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52937
CT
208M00000X
Hospitalist Physician
Primary
52937
CT
Other
Enumeration date
05/04/2011
Last updated
09/24/2018
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