Provider Demographics
NPI:1821166885
Name:SINGLEY, LISA MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:SINGLEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:88 NOBLE AVE
Mailing Address - Street 2:SUITE 104-D
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4738
Mailing Address - Country:US
Mailing Address - Phone:203-874-4333
Mailing Address - Fax:203-878-1725
Practice Address - Street 1:88 NOBLE AVE
Practice Address - Street 2:SUITE 104-D
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4738
Practice Address - Country:US
Practice Address - Phone:203-874-4333
Practice Address - Fax:203-878-1725
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000283175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath