Individual
MISS MARVELLE LISANDRA LINDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(860) 872-2999
Mailing address
106 EASTVIEW DR, WINDSOR, CT 06095-1815
(860) 995-1053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005088
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639427735
—
CT
Enumeration date
08/21/2012
Last updated
04/06/2021
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