Search › Connecticut › 104100000X
Licete Lage
NPI 1225270390 · on the registry since 2009
Practice
- Address
- 968 Fairfield Ave
Bridgeport, CT 06605 - Phone
- (203) 330-6000
- Fax
- (203) 382-1468
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2009-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut