Individual
JULIA LISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
99 E RIVER DRIVE, EAST HARTFORD, CT 06108-7301
(860) 282-0833
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
150862
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
150862
CT
Other
Enumeration date
07/20/2021
Last updated
07/05/2024
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