Ina Lico, DO
Hospitalist in Hartford, CT. Individual provider (NPI-1).
NPI number1164096921
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1164096921
- Entity type
- Individual (NPI-1)
- Name
- Ina Lico
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2021
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 077532 | CT | Yes |
| 207R00000X | Internal Medicine | 077532 | CT | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
80 Seymour StHartford, CT 06102-8000
Phone 860-972-2085
Mailing address
263 Farmington AveFarmington, CT 06030-8082
Phone 860-679-2000
Other practice locations
132 Jefferson Street
Hartford, CT 06106
Hartford, CT 06106
Phone 860-972-0200 · Fax 860-545-3149
263 Farmington Ave
Farmington, CT 06030-8082
Farmington, CT 06030-8082
Phone 860-679-2000 · Fax 860-679-1025
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