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
Phone: (617) 868-2650
Fax: (617) 868-2641
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881691160 | NPPES |
Massachusetts | MEDICAID | 6191061 |
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