Fredrickson, Lisa

Fredrickson, Lisa is an individual health care provider with primary practice located at 250 Lamberton Rd , Windsor CT 06095-2149. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is her primary health care specialty. Fredrickson, Lisa can be contacted via phone (860) 688-3663.

Contact Information

Primary practice address
250 Lamberton Rd Windsor CT 06095-2149
Phone: (860) 688-3663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12734 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1023576493
LBN Legal business name Fredrickson, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Aug 20th, 2020 - about 5 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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