Active NPIIndividual provider

Renika N Mcleod-Labissiere, MD

Family Medicine in Prospect, Connecticut

NPI Number1578648606
Practice location
115 Waterbury Road, Prospect, CT 06712
Fax
203-758-3161
Last updated
July 8, 2007

Renika N Mcleod-Labissiere is a Family Medicine based in Prospect, CT. Renika N Mcleod-Labissiere practices in Prospect, CT and has the professional credentials of MD. The NPI Number for Renika N Mcleod-Labissiere is 1578648606 and holds a License No. 230651 (NY). The current practice location address for Renika N Mcleod-Labissiere is 115 Waterbury Road, Prospect, CT 06712 and can be reached out via phone at 203-758-5660 and via fax at 203-758-3161.

Provider Profile Details

NPI Number
1578648606
Provider Name
Renika N Mcleod-Labissiere
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
115 Waterbury Road, Prospect, CT 06712
Phone Number
203-758-5660
Fax Number
203-758-3161
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Waterbury Road
Prospect, CT 06712
Zip
06712
Phone Number
203-758-5660
Fax Number
203-758-3161
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
102 W Redding RD
Danbury, CT 06810-8345
City
Danbury
State
CT
Zip
06810-8345
Phone Number
203-743-1810

License Information

License Number (1)
230651
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
045025
License State (2)
CT
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Renika N Mcleod-Labissiere, MD?

The NPI number of Renika N Mcleod-Labissiere, MD is 1578648606. It was assigned on October 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Renika N Mcleod-Labissiere, MD?

Renika N Mcleod-Labissiere, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 230651.

Where does Renika N Mcleod-Labissiere, MD practice?

The practice location is 115 Waterbury Road, Prospect, CT 06712. The office can be reached at 203-758-5660 (phone) or 203-758-3161 (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 1578648606 directly on the NPPES registry website.

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