Active NPIIndividual provider

Lisa R Ford, PA-C

Physician Assistant in New Haven, Connecticut

NPI Number1265494926
Practice location
800 Howard Ave, New Haven, CT 06519-1369
Fax
203-785-6414
Last updated
August 27, 2021

Lisa R Ford is a Physician Assistant based in New Haven, CT. Lisa R Ford practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Lisa R Ford is 1265494926 and holds a License No. 001679 (CT). The current practice location address for Lisa R Ford is 800 Howard Ave, New Haven, CT 06519-1369 and can be reached out via phone at 203-785-2140 and via fax at 203-785-6414.

Provider Profile Details

NPI Number
1265494926
Provider Name
Lisa R Ford
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
800 Howard Ave, New Haven, CT 06519-1369
Phone Number
203-785-2140
Fax Number
203-785-6414
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Lisa Brown, PA-C (Former Name)
Provider Enumeration Date
April 6, 2006
Last Update Date
August 27, 2021
Certification Date
August 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Howard Ave
New Haven, CT 06519-1369
Zip
06519-1369
Phone Number
203-785-2140
Fax Number
203-785-6414
New Haven, CT 06519Get directions →

Provider Business Mailing Address Details

Address
300 George St
Po Box 9805
New Haven, CT 06511-6624
City
New Haven
State
CT
Zip
06511-6624
Phone Number
203-785-7998

License Information

License Number (1)
001679
License State (1)
CT
License Number (2)
001679
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa R Ford, PA-C?

The NPI number of Lisa R Ford, PA-C is 1265494926. It was assigned on April 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Lisa R Ford, PA-C?

Lisa R Ford, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001679.

Where does Lisa R Ford, PA-C practice?

The practice location is 800 Howard Ave, New Haven, CT 06519-1369. The office can be reached at 203-785-2140 (phone) or 203-785-6414 (fax).

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 1265494926 directly on the NPPES registry website.

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