Individual
LISA MARIA KEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
439 MILL HILL AVE, BRIDGEPORT, CT 06610
(203) 334-2100
Mailing address
439 MILL HILL AVE, BRIDGEPORT, CT 06610-2866
(203) 334-2100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
002513
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002513
CT
Other
Enumeration date
04/25/2007
Last updated
11/25/2019
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