Active NPIIndividual provider

Lisan DO, APRN

Nurse Practitioner, Adult Health in Southington, Connecticut

NPI Number1700285673
Practice location
20 Belrose Ave, Southington, CT 06489-3602
Fax
—
Last updated
August 17, 2014

Lisan DO is a Nurse Practitioner, Adult Health based in Southington, CT. Lisan DO practices in Southington, CT and has the professional credentials of APRN. The NPI Number for Lisan DO is 1700285673 and holds a License No. 5845 (CT). The current practice location address for Lisan DO is 20 Belrose Ave, Southington, CT 06489-3602 and can be reached out via phone at 203-788-5280.

Provider Profile Details

NPI Number
1700285673
Provider Name
Lisan DO
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
20 Belrose Ave, Southington, CT 06489-3602
Phone Number
203-788-5280
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
August 17, 2014
Last Update Date
August 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Belrose Ave
Southington, CT 06489-3602
Zip
06489-3602
Phone Number
203-788-5280
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
20 Belrose Ave
Southington, CT 06489-3602
City
Southington
State
CT
Zip
06489-3602
Phone Number
203-788-5280

License Information

License Number (1)
5845
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
5845
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X

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 Lisan DO, APRN?

The NPI number of Lisan DO, APRN is 1700285673. It was assigned on August 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Lisan DO, APRN?

Lisan DO, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 5845.

Where does Lisan DO, APRN practice?

The practice location is 20 Belrose Ave, Southington, CT 06489-3602. The office can be reached at 203-788-5280 (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 1700285673 directly on the NPPES registry website.

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