Lisamarie Boncek, LMT is a
Massage Therapist based in East Haven, Connecticut. Lisamarie Boncek is licensed to practice in Connecticut (license number 11103) and her current practice location is
75 Redwood Dr Unit 904, East Haven, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 530-9909.
NPI number for Lisamarie Boncek is 1265144158 and her current mailing address is 75 Redwood Dr Unit 904, East Haven, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265144158.
Healthcare Provider's Profile
Full Name | Lisamarie Boncek |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 75 Redwood Dr Unit 904, East Haven, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265144158
- Provider Enumeration Date: 12/22/2022
- Last Update Date: 12/22/2022
Medical Identifiers
Medical identifiers for Lisamarie Boncek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265144158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 11103 (Connecticut) | 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. Lisamarie Boncek 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 |
Lisamarie Boncek, LMT 75 Redwood Dr Unit 904, East Haven, CT 06513-1976 Ph: (203) 530-9909 | Lisamarie Boncek, LMT 75 Redwood Dr Unit 904, East Haven, CT 06513-1976 Ph: (203) 530-9909 |
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