Jonathan Lis, MD

NPI 1528558939 · on the registry since 2018 · sole proprietor

Practice

Address: 140 Grandview Ave Ste L04
Waterbury, CT 06708
Phone: (860) 868-8932
Fax: (860) 868-7310
Organisation at this address: Anthony Cusano
Joseph L Renda
Ehj Counseling Llc
David G. Reis Md, Llc
Stephen Wallace Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-28

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