LISA C RUSSO

WEST HAVEN, CT
NPI1891217022
Former NameLISA C MAGISTRO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  7045)
Enumeration Date2017-07-10
Last Update Date2023-04-18
Business Address
LISA C RUSSO APRN
1 CELLINI PL STE 102
WEST HAVEN, CT 06516-1666
Phone number: 203-932-6481
Mailing Address
LISA C RUSSO APRN
38 RICHILL RD
BRANFORD, CT 06405-2604
Phone number: 203-871-9975