Lisi, Kenneth R

Lisi, Kenneth R is an individual health care provider with primary practice located at 2979 Main St , Bridgeport CT 06606-4252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lisi, Kenneth R can be contacted via phone (203) 333-8800.

Contact Information

Primary practice address
2979 Main St Bridgeport CT 06606-4252
Fax: (203) 384-5157
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 013087 Connecticut

Profile Details

NPI number 1861499824
LBN Legal business name Lisi, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated May 31st, 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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