Individual
LISA MARIE COVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 BUXTON FARM RD STE 220, STAMFORD, CT 06905-1230
(203) 658-6051
(888) 397-2148
Mailing address
14 APPLEBEE RD APT 1, STAMFORD, CT 06905-3513
(203) 921-9709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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