person
Lisa M Vanty, PA
Medical Physician Assistant in Wethersfield, Connecticut
NPI 1811097520

Lisa M Vanty is a Medical Physician Assistant based in Wethersfield, CT and is specialized in Medical. Lisa M Vanty practices in Wethersfield, CT and has the professional credentials of PA. The NPI Number for Lisa M Vanty is 1811097520 and holds a License No. 000150 (Connecticut).

The current practice location address for Lisa M Vanty is 1025 Silas Deane Hwy, Wethersfield, CT and can be reached out via phone at 860-696-2400 and via fax at 860-696-2410.

Location: 1025 Silas Deane Hwy, Wethersfield, CT, 06109-4229
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Provider Profile Details
NPI Number
1811097520
Provider Name
Lisa M Vanty
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1025 Silas Deane Hwy, Wethersfield, CT, 06109-4229
Phone Number
860-696-2400
Fax Number
860-696-2410
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811097520 01 CT NPI
institution
Provider Business Practice Location Address Details
Address
1025 Silas Deane Hwy
City
State
Zip
06109-4229
Phone Number
860-696-2400
Fax Number
860-696-2410
person
Provider Business Mailing Address Details
Address
1025 Silas Deane Hwy
City
State
Zip
06109-4229
Phone Number
860-696-2400
Fax Number
860-696-2410
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000150 (Connecticut)
Definition
Definition to come...
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