Individual
MRS. LISA MARI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N, MSN
Contact information
Practice address
400 CAPITAL BLVD, ROCKY HILL, CT 06067-3576
(860) 305-5420
Mailing address
60 WESTVIEW TER, SHELTON, CT 06484-3856
(203) 736-1575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003302
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004253944
—
CT
Enumeration date
02/10/2006
Last updated
05/14/2014
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