Lisa A Larrivee in New London - Military Health Care Provider
Lisa A Larrivee - NPI 1962509125
Lisa A Larrivee is a Military Health Care Provider in New London, Connecticut. Lisa A Larrivee practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Lisa A Larrivee is 1962509125. The last update date is 2007-07-08.
Lisa A Larrivee's current location address is 15 Mohegan Ave, New London, Connecticut. You can contact this provider via phone number 8604448402. The mailing address for Lisa A Larrivee is 15 Mohegan Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A Larrivee |
|---|---|
| Address | 15 Mohegan Ave, New London, Connecticut |
| Phone Number | 8604448402 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1962509125 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Mohegan Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63208100 |
| Phone Number | 8604448402 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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Post Comment/ Review Below
Could you provide the complete address where Lisa A Larrivee is physically located?
The Lisa A Larrivee is situated at the following address: 15 Mohegan Ave, New London, CT 63208100.
Could you please share the complete physical location address where Lisa A Larrivee's facilities are situated?
The facilities of Lisa A Larrivee are physically located at the following address: 15 Mohegan Ave, New London, CT, 63208100.
What is Lisa A Larrivee's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa A Larrivee is Military Health Care Provider, and the corresponding taxonomy classification code for this specialized field is 171000000X.
On what date did the Lisa A Larrivee receive the assignment of its 1962509125 from the Centers for Medicare & Medicaid Services?
The Lisa A Larrivee was issued its 1962509125 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information regarding Lisa A Larrivee most recently updated?
The details pertaining to the Lisa A Larrivee, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.