Antonelli, Lisa M

Antonelli, Lisa M is an individual health care provider with primary practice located at 266 Rindge Ave # B , Cambridge MA 02140-3202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Antonelli, Lisa M can be contacted via phone (617) 665-3340.

Contact Information

Primary practice address
266 Rindge Ave # B Cambridge MA 02140-3202
Phone: (617) 665-3340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 87024 Massachusetts

Profile Details

NPI number 1962577361
LBN Legal business name Antonelli, Lisa M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Nov 15th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962577361 NPPES
Massachusetts Other NP1476 BCBS MA

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