Kodadek, Lisa M.

Kodadek, Lisa M. is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Kodadek, Lisa M. can be contacted via phone (203) 688-4242.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 688-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 65084 Connecticut
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 65084 Connecticut
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 65084 Connecticut

Profile Details

NPI number 1972802791
LBN Legal business name Kodadek, Lisa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Sep 18th, 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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