Leffert, Lisa Rae
Leffert, Lisa Rae is an individual health care provider with primary practice located at 333 Cedar St Fl 3 , New Haven CT 06510-3206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Leffert, Lisa Rae can be contacted via phone (203) 785-2802.Contact Information
Primary practice address
333 Cedar St Fl 3
New Haven CT 06510-3206
Phone: (203) 785-2802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 69233 | Connecticut |
Profile Details
| NPI number | 1992795579 |
|---|---|
| LBN Legal business name | Leffert, Lisa Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Aug 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992795579 | NPPES |
| Massachusetts | Other | J31896 | BCBS MA |
| Massachusetts | MEDICAID | 3148408 | BCBS MA |
| Massachusetts | Other | 150136 | BCBS MA |
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