Individual
DR. LISA A LICARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
Mailing address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54140
CT
207V00000X
Obstetrics & Gynecology Physician
DO00810
RI
Other
Enumeration date
07/07/2010
Last updated
07/14/2015
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