Bedard, Lisa J

Bedard, Lisa J is an sole proprietor health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bedard, Lisa J can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003375 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP37341 Rhode Island

Profile Details

NPI number 1225277221
LBN Legal business name Bedard, Lisa J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2009
Last updated Feb 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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