Lisa Ann Mammano is a Specialist in Madison, Connecticut. Lisa Ann Mammano practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisa Ann Mammano is 1629134945. The last update date is 2007-07-08.
Lisa Ann Mammano's current location address is 23 Woodland Rd, Madison, Connecticut. You can contact this provider via phone number 2032459293 and fax number 2032452522. The mailing address for Lisa Ann Mammano is 23 Woodland Rd, Madison, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Mammano |
|---|---|
| Address | 23 Woodland Rd, Madison, Connecticut |
| Phone Number | 2032459293 |
| Fax Number | 2032452522 |
| Sole Proprietor | N |
| Credentials | MS RPT |
NPI Number Detail
| NPI Number | 1629134945 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23 Woodland Rd |
|---|---|
| City | Madison |
| State | Connecticut (CT) |
| Post Code | 6405 |
| Phone Number | 2032459293 |
| Fax Number | 2032452522 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 6580 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Lisa Ann Mammano by the Centers for Medicare & Medicaid Services?
The Lisa Ann Mammano has been issued the NPI (National Provider Identifier) 1629134945 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa Ann Mammano?
The Lisa Ann Mammano is situated at 23 Woodland Rd, in the city of Madison, state of CT, with the zip code 6405.
What is Lisa Ann Mammano's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Ann Mammano's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Lisa Ann Mammano receive its 1629134945 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Ann Mammano was assigned its 1629134945 by the Centers for Medicare & Medicaid Services on 2006-12-29.
As of what date was the information regarding Lisa Ann Mammano, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Ann Mammano, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN