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Individual

LISA M SPICER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
7 CAMBRIDGE DR STE 201, TRUMBULL, CT 06611-4763
(203) 335-0195
Mailing address
7 CAMBRIDGE DR STE 201, TRUMBULL, CT 06611-4763
(203) 335-0195
(203) 335-7293

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003792
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003792
CONNECTICUT APRN LICENSE
CT
Enumeration date
05/09/2008
Last updated
11/05/2024
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