Lisse, Sean Aaron

Lisse, Sean Aaron is an individual health care provider with primary practice located at 333 Cedar St Rm Te2 Ynhh Department Of Radiology, New Haven CT 06510-3206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lisse, Sean Aaron can be contacted via phone (203) 785-5253.

Contact Information

Primary practice address
333 Cedar St Rm Te2 Ynhh Department Of Radiology New Haven CT 06510-3206
Phone: (203) 785-5253
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 66770 Connecticut
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 66770 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 66770 Connecticut

Profile Details

NPI number 1508285479
LBN Legal business name Lisse, Sean Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2014
Last updated Sep 16th, 2020 - about 4 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 1508285479 NPPES
Connecticut Other 66770 CONNECTICUT MEDICAL LICENSE

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