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Contact Information

LISA R FORD, PA-C
800 HOWARD AVE
NEW HAVEN, CT06519-1369
 Phone: 203-785-2140
 Fax: 203-785-6414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Vascular-Interventional Technology Radiologic Technologist

2471V0106X
Indicates primary specialty

NPI Profile & details for LISA R FORD · (Female)

NPI # 1265494926
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/06/2006
Last updated 08/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001679
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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