Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MENILLO, MD
ActivePediatrics · BRISTOL, CT
Registration Details
- NPI Number
- 1952309924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2005 (20.835112183134 yrs)
- Last Updated
- Oct 8, 2020
- License
-
030842 (CT)
Practice Information
- Address
-
1301 FARMINGTON AVEBRISTOL, CT, 060104776Browse CT providers · Browse ZIP 06010
- Phone
- 8605894501
- Fax
- 8605894502
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BRISTOL, CT
| Name | Credential | NPI |
|---|---|---|
| SUSAN GLASSER | MD | 1114925195 |
| BRYAN R HOLLAND | MD | 1346239126 |
| CAROLYN A CLARK | M.D. | 1699757252 |
| JULIE E SCHIFF | MD | 1427031996 |
| RUTH ALISON LOOMIS | MD | 1780668012 |
| DELBERT H HODDER | MD | 1841276318 |
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.