Premise Health of Connecticut Medical, P.c.

NPI #1851695761 in Lynchburg, Virginia

Provider Information

NPI Number
1851695761
Entity Type
Organization
Organization Name
Premise Health of Connecticut Medical, P.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 6, 2011
Last Updated
Aug 15, 2022

Practice Location

Address
1570 MOUNT ATHOS RD # SHOP28
ZIP Code
24504-5448
Phone
(434) 522-5006

Authorized Official

Name
JON LEIZMAN, MD
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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