Individual
LISA HAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MAIN ST, TORRINGTON, CT 06790-5202
(860) 618-5455
(860) 618-2530
Mailing address
227 MAIN ST, TORRINGTON, CT 06790-5202
(860) 618-5455
(860) 618-2530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001512
CT
363LF0000X
Family Nurse Practitioner
Primary
001512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015123630
CONNECTICARE
CT
01
—
787904
MVP
CT
01
—
90350
GHI
CT
Enumeration date
07/12/2005
Last updated
01/25/2019
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