Lisa M Ambrogio-Decola, PA
Physician Assistant, Surgical in Meriden, Connecticut
1295741825- Practice location
- 435 Lewis Ave Ste 103, Meriden, CT 06451-2101
- Phone
- 203-694-7550
- Fax
- 203-694-7555
- Last updated
- June 26, 2019
Lisa Marie Ambrogio-Decola is a Physician Assistant, Surgical based in Meriden, CT. Lisa Marie Ambrogio-Decola practices in Meriden, CT and has the professional credentials of PA. The NPI Number for Lisa Marie Ambrogio-Decola is 1295741825 and holds a License No. 001246 (CT). The current practice location address for Lisa Marie Ambrogio-Decola is 435 Lewis Ave Ste 103, Meriden, CT 06451-2101 and can be reached out via phone at 203-694-7550 and via fax at 203-694-7555.
Provider Profile Details
- NPI Number
- 1295741825
- Provider Name
- Lisa Marie Ambrogio-Decola
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 435 Lewis Ave Ste 103, Meriden, CT 06451-2101
- Phone Number
- 203-694-7550
- Fax Number
- 203-694-7555
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 1, 2006
- Last Update Date
- June 26, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 435 Lewis Ave Ste 103
Meriden, CT 06451-2101 - City
- Meriden
- State
- Connecticut
- Zip
- 06451-2101
- Phone Number
- 203-694-7550
- Fax Number
- 203-694-7555
Provider Business Mailing Address Details
- Address
- 435 Lewis Ave
Ste 103
Meriden, CT 06451-2101 - City
- Meriden
- State
- CT
- Zip
- 06451-2101
- Phone Number
- 203-789-3997
- Fax Number
- 203-867-5216
License Information
- License Number
- 001246
- License State
- CT
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ambrogio-Decola, PA?
The NPI number of Lisa M Ambrogio-Decola, PA is 1295741825. It was assigned on August 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa M Ambrogio-Decola, PA?
Lisa M Ambrogio-Decola, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 001246.
Where does Lisa M Ambrogio-Decola, PA practice?
The practice location is 435 Lewis Ave Ste 103, Meriden, CT 06451-2101. The office can be reached at 203-694-7550 (phone) or 203-694-7555 (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 1295741825 directly on the NPPES registry website.