Individual
DR. LISA L. LATTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
47 COLLEGE ST FL 2, NEW HAVEN, CT 06510-3209
(203) 785-5461
(415) 885-3862
Mailing address
47 COLLEGE ST FL 2, NEW HAVEN, CT 06510-3209
(032) 785-5461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G85464
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
64343
CT
207XS0106X
Orthopaedic Hand Surgery Physician
G85464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64343
CT MEDICAL LICENSE
CT
Enumeration date
05/20/2006
Last updated
08/03/2020
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