Individual
LISA FRITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002892
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004238730
—
CT
01
—
P00070510
RAILROAD MEDICARE
CT
Enumeration date
04/03/2006
Last updated
02/10/2014
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