Ford, Lisa R

Ford, Lisa R is an individual health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ford, Lisa R can be contacted via phone (203) 785-2140.

Contact Information

Primary practice address
800 Howard Ave New Haven CT 06519-1369
Phone: (203) 785-2140
Fax: (203) 785-6414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular-Interventional Technology 2471V0106X 001679 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001679 Connecticut

Profile Details

NPI number 1265494926
LBN Legal business name Ford, Lisa R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 27th, 2021 - about 5 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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