Bocelli, Lisa M
Bocelli, Lisa M is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bocelli, Lisa M can be contacted via phone (508) 856-2846.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 856-2846
Fax: (508) 856-3981
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 234119 | Massachusetts |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 234119 | Massachusetts |
Profile Details
NPI number | 1518016344 |
---|---|
LBN Legal business name | Bocelli, Lisa M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Nov 5th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518016344 | NPPES |
Massachusetts | MEDICAID | 110079192A |
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