Poulose, Lissy Davis

Poulose, Lissy Davis is an individual health care provider with primary practice located at 324 Elm St Ste 202B, Monroe CT 06468-2284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Poulose, Lissy Davis can be contacted via phone (203) 880-5335.

Contact Information

Primary practice address
324 Elm St Ste 202B Monroe CT 06468-2284
Phone: (203) 880-5335
Fax: (203) 907-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003902 Connecticut

Profile Details

NPI number 1790937670
LBN Legal business name Poulose, Lissy Davis
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Jan 21st, 2022 - about 4 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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