Cirullo, Lisanne M

Cirullo, Lisanne M is an individual health care provider with primary practice located at 263 Farmington Ave Endocrinology Associates, Farmington CT 06030-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cirullo, Lisanne M can be contacted via phone (860) 679-3245.

Contact Information

Primary practice address
263 Farmington Ave Endocrinology Associates Farmington CT 06030-0001
Phone: (860) 679-3245
Fax: (860) 679-1867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000484 Connecticut

Profile Details

NPI number 1154302883
LBN Legal business name Cirullo, Lisanne M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 25th, 2013 - about 11 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 1154302883 NPPES
Connecticut MEDICAID 4249290

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