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General NPI Number Information
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NPI Number | 1003876228
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Entity Type | Individual
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Provider Name | LISA KURIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1700 E PUTNAM AVE STE 407
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1380
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Country | US
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Telephone | 203-524-9698
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Fax | 203-242-4523
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Provider Business Mailing Address
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Address Line | 1700 E PUTNAM AVE STE 407
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1380
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Country | US
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Telephone | 203-524-9698
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Fax | 203-242-4523
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 232576
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 047809
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 47809
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License Number State | CT
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