Individual provider · Type 1 NPI

Lisa Decarlo

Family Nurse Practitioner · Norwich, CT

NPI number 1528467016 Active

Practice location

330 Washington St, Suite 510
Norwich, CT 06360-2700

Call (860) 885-1308 Map

Fax (860) 889-1982

Mailing address

40 Mansfield Ave
Willimantic, CT 06226-2018

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	5857 (CT)

Family Nurse Practitioner: Definition to come...

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David E. Coletti, MDSurgery Physician Norwich, CT NPI 1376517730

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About NPI 1528467016

Lisa Decarlo's National Provider Identifier is 1528467016, issued on Aug 20, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Norwich, CT. The record was last updated on Aug 20, 2014.