Individual
DR. TATYANA LYAPUSTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1930
(203) 735-7421
Mailing address
UCONN HEALTH, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-1930
(860) 679-4988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
62409
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2013
Last updated
10/17/2022
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