Individual
LEA HAMILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Mailing address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005202
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008053769
—
CT
01
—
1902142078
ANTHEM BCBS
CT
01
—
3444961
CIGNA
CT
Enumeration date
12/18/2012
Last updated
02/26/2015
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