Fitzgerald, Lisa

Fitzgerald, Lisa is an individual health care provider with primary practice located at 300 Mount Auburn St Ste 410, Cambridge MA 02138-5665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Fitzgerald, Lisa can be contacted via phone (617) 868-2650.

Contact Information

Primary practice address
300 Mount Auburn St Ste 410 Cambridge MA 02138-5665
Fax: (617) 868-2641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 50964 Massachusetts

Profile Details

NPI number 1881691160
LBN Legal business name Fitzgerald, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 24th, 2009 - about 16 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 1881691160 NPPES
Massachusetts MEDICAID 6191061

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