MS. LISA MAMMANO, MS RPT

Specialist

Active Individual
NPI: 1629134945

Practice Address

23 WOODLAND RD
Madison, CT 06443

Phone: (203) 245-9293

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 006580 (CT)

Frequently Asked Questions

NPI 1629134945 is the National Provider Identifier for MS. LISA MAMMANO, MS RPT, a Specialist provider located in Madison, CT. This NPI was enumerated on December 29, 2006.
MS. LISA MAMMANO, MS RPT practices at 23 WOODLAND RD, Madison, CT 06443.

Quick Facts

NPI
1629134945
Type
Individual
Enumerated
Dec 29, 2006
Last Updated
Jul 8, 2007

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