Individual
LEA TRIPODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
543 N MAIN ST, MANCHESTER, CT 06042-1935
(860) 432-8400
Mailing address
1504 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
11/14/2022
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