Freed, Lisa A

Freed, Lisa A is an individual health care provider with primary practice located at 2 Devine Street Suite # 1, North Haven CT 06473-2193. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Freed, Lisa A can be contacted via phone (203) 789-2272.

Contact Information

Primary practice address
2 Devine Street Suite # 1 North Haven CT 06473-2193
Fax: (203) 865-8614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 037589 Connecticut

Profile Details

NPI number 1750382453
LBN Legal business name Freed, Lisa A
Credentials MD, FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Feb 22nd, 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 1750382453 NPPES
Connecticut MEDICAID 001375890
Connecticut Other P00396903

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