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Individual

DR. LISA LAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5584
(860) 224-5946
Mailing address
PO BOX 1730, NEW HAVEN, CT 06507-1730
(203) 397-8000
(203) 389-1540

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26593
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004397876
AETNA USHC
CT
01
004199057P1
BLUE CARE NBG GRP#
CT
01
004199057P2
BLUE CARE BMH GRP#
CT
01
0V6399
HEALTHNET GRP#
CT
01
1104295
UNITED HEALTHCARE GRP#
CT
01
4533129
CIGNA#
CT
01
500HBL433CT01
BC/BS NBG GRP#
CT
01
500HBL433CT02
BC/BS BMH GRP#
CT
01
615577
CONNECTICARE GRP#
CT
Enumeration date
05/04/2006
Last updated
07/08/2007
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