Stemm, Lisa
Stemm, Lisa is an individual health care provider with primary practice located at 78 Viets St , New London CT 06320-3354. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Stemm, Lisa can be contacted via phone (860) 271-4364.Contact Information
Primary practice address
78 Viets St
New London CT 06320-3354
Phone: (860) 271-4364
Fax: (413) 543-7962
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 002899 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 002899 | Connecticut |
Profile Details
NPI number | 1174540694 |
---|---|
LBN Legal business name | Stemm, Lisa |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Dec 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174540694 | NPPES |
Connecticut | MEDICAID | 004237203 |
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