Ms Lisa Kim Diamond, is a
Counselor based in North Grosvenordale, Connecticut. Ms Lisa Kim Diamond is licensed to practice in Massachusetts (license number LSWA414220) and her current practice location is
45 Bull Hill Rd, North Grosvenordale, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 212-1936.
NPI number for Ms Lisa Kim Diamond is 1306646856 and her current mailing address is 45 Bull Hill Rd, North Grosvenordale, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306646856.
Healthcare Provider's Profile
Full Name | Ms Lisa Kim Diamond |
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Gender | Female |
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Speciality | Counselor |
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Location | 45 Bull Hill Rd, North Grosvenordale, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306646856
- Provider Enumeration Date: 03/14/2025
- Last Update Date: 03/14/2025
Medical Identifiers
Medical identifiers for Ms Lisa Kim Diamond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306646856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LSWA414220 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa Kim Diamond is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lisa Kim Diamond, 45 Bull Hill Rd, North Grosvenordale, CT 06255-2004 Ph: (860) 212-1936 | Ms Lisa Kim Diamond, 45 Bull Hill Rd, North Grosvenordale, CT 06255-2004 Ph: (860) 212-1936 |
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