Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA A WEBSTER-LAKE, MD
ActiveCARISSA A WEBSTER-LAKE, MD is a Vascular Surgery healthcare provider located in WEST HARTFORD, Connecticut. NPI 1134448269 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · WEST HARTFORD, CT
Registration Details
- NPI Number
- 1134448269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2010 (16.235803035562 yrs)
- Last Updated
- Aug 28, 2024
- Licenses
-
54698 (CT)54698 (CT)0101279557 (VA)59921 (TN)
Practice Information
- Address
-
2550 ALBANY AVE # 1056WEST HARTFORD, CT, 061172335Browse CT providers · Browse ZIP 06117
- Phone
- 6178690135
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.