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

Lisa Menillo, MD

Individual provider Pediatrics Physician · NPI 1952309924

Lisa Menillo, MD is a Pediatrics Physician in Bristol, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1301 Farmington Ave
Bristol, CT 06010-4776
Phone: (860) 589-4501
Fax: (860) 589-4502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 030842 (CT)

Record details

NPI number1952309924
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address1301 Farmington Ave, Bristol, CT 06010-4776

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