Webster-Lake, Carissa A

Webster-Lake, Carissa A is an individual health care provider with primary practice located at 2550 Albany Ave # 1056 , West Hartford CT 06117-2335. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Webster-Lake, Carissa A can be contacted via phone (617) 869-0135.

Contact Information

Primary practice address
2550 Albany Ave # 1056 West Hartford CT 06117-2335
Phone: (617) 869-0135
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 54698 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 59921 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 54698 Connecticut

Profile Details

NPI number 1134448269
LBN Legal business name Webster-Lake, Carissa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Apr 22nd, 2024 - about last year

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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