Carson, Lisa Evans
Carson, Lisa Evans is an individual health care provider with primary practice located at 336 Thompson Rd , Webster MA 01570-1509. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carson, Lisa Evans can be contacted via phone (508) 943-5224.Contact Information
Primary practice address
336 Thompson Rd
Webster MA 01570-1509
Phone: (508) 943-5224
Fax: (508) 949-2211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN181340 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN181340 | Massachusetts |
Profile Details
| NPI number | 1649244237 |
|---|---|
| LBN Legal business name | Carson, Lisa Evans |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Nov 16th, 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 | 1649244237 | NPPES |
| Massachusetts | MEDICAID | 0348091 |
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