Individual
LISA C RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
Mailing address
38 RICHILL RD, BRANFORD, CT 06405-2604
(203) 871-9975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7045
CT
Other
Enumeration date
07/10/2017
Last updated
04/18/2023
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