INA LICO, DO
Hospitalist
Active
Individual
NPI: 1164096921
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | No | 077532 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Hospitalist | 208M00000X | Yes | 077532 (CT) |
Frequently Asked Questions
NPI 1164096921 is the National Provider Identifier for INA LICO, DO, a Hospitalist provider located in Hartford, CT. This NPI was enumerated on May 17, 2021.
INA LICO, DO practices at 80 SEYMOUR ST, Hartford, CT 06102.
Quick Facts
- NPI
- 1164096921
- Type
- Individual
- Enumerated
- May 17, 2021
- Last Updated
- Oct 7, 2024
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