Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Fredrickson

Individual provider General Practice Dentistry · NPI 1023576493

Lisa Fredrickson is a General Practice Dentistry in Windsor, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

250 Lamberton Rd
Windsor, CT 06095-2149
Phone: (860) 688-3663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-3076

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12734 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023576493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020
Mailing address79 Wrights Pond Rd, Westbrook, CT 06498-1458

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