Individual
LISA DESIDERIO CONSIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
81 MERIDEN AVE, SOUTHINGTON, CT 06489-3268
(860) 276-5000
Mailing address
61 SHANE DR, SOUTHBURY, CT 06488-2678
(203) 262-6983
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
001306
CT
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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