Individual
MS. LISA ANN CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 COMMERCE PARK, MILFORD, CT 06460-3565
(203) 882-2066
(203) 882-2074
Mailing address
50 COMMERCE PARK, MILFORD, CT 06460-3565
(203) 882-2066
(203) 882-2074
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017638
—
CT
01
—
1407975675
GROUP NPI
CT
Enumeration date
04/22/2007
Last updated
07/28/2023
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