Individual
DR. LISA MARIAN DONOFRIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
134 PARK ST, NEW HAVEN, CT 06511-5409
(203) 865-6143
(203) 772-1265
Mailing address
4 SAINT RONAN TER, NEW HAVEN, CT 06511-2315
(203) 865-6143
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
035052
CT
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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