Diamond, Lisa C.

Diamond, Lisa C. is an sole proprietor health care provider with primary practice located at 940 Federal Rd , Brookfield CT 06804-1150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Diamond, Lisa C. can be contacted via phone (203) 744-9686.

Contact Information

Primary practice address
940 Federal Rd Brookfield CT 06804-1150
Phone: (203) 744-9686
Fax: (203) 740-3424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 029445 Connecticut

Profile Details

NPI number 1184710550
LBN Legal business name Diamond, Lisa C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Feb 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184710550 NPPES
Connecticut Other D300062724 MEDICARE PTAN -

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