Active NPIIndividual provider

Lisa M Gronski, DO

Internal Medicine in Avon, Connecticut

NPI Number1265758577
Practice location
339 W Main St, Avon, CT 06001-4322
Fax
860-696-2160
Last updated
August 29, 2016

Lisa Marie Gronski is an Internal Medicine based in Avon, CT. Lisa Marie Gronski practices in Avon, CT and has the professional credentials of DO. The NPI Number for Lisa Marie Gronski is 1265758577 and holds a License No. 054041 (CT). The current practice location address for Lisa Marie Gronski is 339 W Main St, Avon, CT 06001-4322 and can be reached out via phone at 860-696-2150 and via fax at 860-696-2160.

Provider Profile Details

NPI Number
1265758577
Provider Name
Lisa Marie Gronski
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
339 W Main St, Avon, CT 06001-4322
Phone Number
860-696-2150
Fax Number
860-696-2160
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2010
Last Update Date
August 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 W Main St
Avon, CT 06001-4322
City
Avon
Zip
06001-4322
Phone Number
860-696-2150
Fax Number
860-696-2160
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
339 W Main St
Avon, CT 06001-4322
City
Avon
State
CT
Zip
06001-4322
Phone Number
860-696-2150
Fax Number
860-696-2160

License Information

License Number
054041
License State
CT
Taxonomy
Internal Medicine · 207R00000X · 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 M Gronski, DO?

The NPI number of Lisa M Gronski, DO is 1265758577. It was assigned on April 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Lisa M Gronski, DO?

Lisa M Gronski, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 054041.

Where does Lisa M Gronski, DO practice?

The practice location is 339 W Main St, Avon, CT 06001-4322. The office can be reached at 860-696-2150 (phone) or 860-696-2160 (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 1265758577 directly on the NPPES registry website.

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