Individual
DR. KENNETH R LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2979 MAIN ST, BRIDGEPORT, CT 06606-4252
(203) 333-8800
(203) 384-5157
Mailing address
2979 MAIN ST, BRIDGEPORT, CT 06606-4252
(203) 333-8800
(203) 384-5157
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
013087
CT
Other
Enumeration date
07/06/2005
Last updated
05/31/2013
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