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Contact Information

LISA D MCCOY
3043A MAIN STREET
GLASTONBURY, CT06033
 Phone: 860-657-9212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LISA D MCCOY · (Female)

NPI Number 1235468232
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2009
Last updated 12/22/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 2-010176
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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