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Individual

MRS. LILIANA ALEXANDRA CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APRN, MS, CRNA

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-6963
Mailing address
8 FRANK GATES LN, DERBY, CT 06418-2263
(203) 231-0924

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
079478
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
5262
CT

Other

Enumeration date
12/27/2012
Last updated
10/27/2014
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