Vanty, Lisa M

Vanty, Lisa M is an individual health care provider with primary practice located at 1025 Silas Deane Hwy , Wethersfield CT 06109-4229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Vanty, Lisa M can be contacted via phone (860) 696-2400.

Contact Information

Primary practice address
1025 Silas Deane Hwy Wethersfield CT 06109-4229
Phone: (860) 696-2400
Fax: (860) 696-2410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000150 Connecticut

Profile Details

NPI number 1811097520
LBN Legal business name Vanty, Lisa M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jan 12th, 2010 - about 16 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 1811097520 NPPES
Connecticut Other 1811097520 NPI

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