Individual provider · Type 1 NPI

Lizzie Luckashvili, MD

Student in an Organized Health Care Education/Training Program · New Britain, CT

NPI number 1922934546 Active

Practice location

100 Grand Street, Hospital Of Central Connecticut, Outpatient Clinic
New Britain, CT 06052

Call (860) 224-5261 Map

Mailing address

263 Farmington Avenue, Graduate Medical Education Office
Farmington, CT 06030-1921

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922934546

Lizzie Luckashvili, MD's National Provider Identifier is 1922934546, issued on Jun 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Britain, CT. The record was last updated on Sep 4, 2026.