Lee, Lisa Mari

Lee, Lisa Mari is an individual health care provider with primary practice located at 400 Capital Blvd , Rocky Hill CT 06067-3576. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Lisa Mari can be contacted via phone (860) 305-5420.

Contact Information

Primary practice address
400 Capital Blvd Rocky Hill CT 06067-3576
Phone: (860) 305-5420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003302 Connecticut

Profile Details

NPI number 1912970864
LBN Legal business name Lee, Lisa Mari
Credentials A.P.R.N, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 14th, 2014 - 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 1912970864 NPPES
Connecticut MEDICAID 004253944

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