Lisa Fredrickson
Dentist, General Practice in Windsor, Connecticut
1023576493- Practice location
- 250 Lamberton RD, Windsor, CT 06095-2149
- Phone
- 860-688-3663
- Fax
- —
- Last updated
- August 20, 2020
Lisa Fredrickson is a Dentist, General Practice based in Windsor, CT. Lisa Fredrickson practices in Windsor, CT. The NPI Number for Lisa Fredrickson is 1023576493 and holds a License No. 12734 (CT). The current practice location address for Lisa Fredrickson is 250 Lamberton RD, Windsor, CT 06095-2149 and can be reached out via phone at 860-688-3663.
Provider Profile Details
- NPI Number
- 1023576493
- Provider Name
- Lisa Fredrickson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 250 Lamberton RD, Windsor, CT 06095-2149
- Phone Number
- 860-688-3663
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 5, 2019
- Last Update Date
- August 20, 2020
- Certification Date
- August 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Lamberton RD
Windsor, CT 06095-2149 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-2149
- Phone Number
- 860-688-3663
Provider Business Mailing Address Details
- Address
- 79 Wrights Pond RD
Westbrook, CT 06498-1458 - City
- Westbrook
- State
- CT
- Zip
- 06498-1458
- Phone Number
- 860-575-4196
License Information
- License Number (1)
- 12734
- License State (1)
- CT
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Windsor, CT
View all Dentist, General Practice providers in Windsor →- Day Hill Dental PLLCDentist, General Practice · NPI 1821217399
- Dr. David I Bloom Jr., DDSDentist, General Practice · NPI 1659582419
- Dr. Gregory A Farber, DMDDentist, General Practice · NPI 1649481615
- Dr. Irene D Marion, DDSDentist, General Practice · NPI 1023153483
- Dr. Jeffrey Chu, DMDDentist, General Practice · NPI 1770810319
- Dr. Madison Cohen, DMDDentist, General Practice · NPI 1720736531
Frequently Asked Questions
What is the NPI number of Lisa Fredrickson?
The NPI number of Lisa Fredrickson is 1023576493. It was assigned on March 5, 2019 and is currently active in the NPPES registry.
What is the specialty of Lisa Fredrickson?
Lisa Fredrickson is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 12734.
Where does Lisa Fredrickson practice?
The practice location is 250 Lamberton RD, Windsor, CT 06095-2149. The office can be reached at 860-688-3663 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023576493 directly on the NPPES registry website.