Individual
DR. LEILANI L NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
31 DOW RD, PLAINFIELD, CT 06374-1800
(860) 564-6293
(860) 564-4879
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 564-6293
(860) 564-4879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028919
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD08368
RI
Other
Enumeration date
10/25/2006
Last updated
07/16/2009
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