Individual provider · Type 1 NPI

Lidia Mikolaenko

Family Medicine Physician · Waterbury, CT

NPI number 1497175228 Active

Practice location

80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418

Call (203) 756-8021 Map

Other practice locations

  • 3125 Transverse Dr, Health Science Campus Health Center, Toledo, OH 43614-8008 · (419) 383-3771
  • 59 Southern Blvd, Nesconset, NY 11767-1090 · (631) 628-5000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X290112 (NY)
Family Medicine Physician Primary 207Q00000X57241 (CT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 other providers at this address

Other family medicine physician providers in Waterbury

See all in Waterbury →

About NPI 1497175228

Lidia Mikolaenko's National Provider Identifier is 1497175228, issued on Apr 19, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waterbury, CT. The record was last updated on Oct 5, 2026.