Individual
LISA PIPOSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 444-5117
Mailing address
365 MONTAUK AVE, APT 2A, NEW LONDON, CT 06320-4700
(860) 444-5117
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
104412
CT
Other
Enumeration date
09/29/2014
Last updated
12/05/2018
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