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Individual

LISA WRUBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7 VAUXHALL ST, NEW LONDON, CT 06320-5711
(860) 705-4969
Mailing address
8 NATHAN HALE DR, EAST LYME, CT 06333-1458
(860) 705-4969

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
82201
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
11641
CT

Other

Enumeration date
09/14/2020
Last updated
04/19/2023
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