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1740263409
LISA A MALONE
FARMINGTON, CT
NPI
1740263409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000034)
Enumeration Date
2005-11-26
Last Update Date
2023-01-13
Business Address
-- LISA A MALONE PA-C
263 FARMINGTON AVE EMERGENCY MEDICINE
FARMINGTON, CT 06030-0001
Phone number: 860-679-3486
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Mailing Address
-- LISA A MALONE PA-C
65 KANE ST PROVIDER ENROLLMENT
WEST HARTFORD, CT 06119-2110
Phone number:
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