Chirch, Lisa

Chirch, Lisa is an individual health care provider with primary practice located at 263 Farmington Ave Infectious Diseases, Farmington CT 06030-2817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Chirch, Lisa can be contacted via phone (860) 679-4225.

Contact Information

Primary practice address
263 Farmington Ave Infectious Diseases Farmington CT 06030-2817
Fax: (860) 679-1217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 050203 Connecticut

Profile Details

NPI number 1528098985
LBN Legal business name Chirch, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 26th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528098985 NPPES
Connecticut MEDICAID 1528098985

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