Individual
DR. LISA ANN WEISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 YORK ST, SUITE 2F, NEW HAVEN, CT 06511-5620
(203) 777-6455
(203) 789-1960
Mailing address
100 YORK ST, SUITE 2F, NEW HAVEN, CT 06511-5620
(203) 777-6455
(203) 789-1960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040362
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040362
LICENSE NUMBER
CT
Enumeration date
11/02/2010
Last updated
11/02/2010
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