DR. Lisa Danielle Mccoy

NPI #1235468232 in Glastonbury, Connecticut

Provider Information

NPI Number: 1235468232
Entity Type: Individual
Name: DR. Lisa Danielle Mccoy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 22, 2009
Last Updated: Dec 22, 2009

Practice Location

Address: 3043A MAIN STREET
City: Glastonbury
State: Connecticut
ZIP Code: 06033
Phone: (860) 657-9212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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