Individual
RENIKA N MCLEOD-LABISSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 WATERBURY ROAD, PROSPECT, CT 06712
(203) 758-5660
(203) 758-3161
Mailing address
102 W REDDING RD, DANBURY, CT 06810-8345
(203) 743-1810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045025
CT
207Q00000X
Family Medicine Physician
230651
NY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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