Gast, Lisa A

Gast, Lisa A is an individual health care provider with primary practice located at 70 Atlantic Ave , Marblehead MA 01945-0121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gast, Lisa A can be contacted via phone (781) 631-7800.

Contact Information

Primary practice address
70 Atlantic Ave Marblehead MA 01945-0121
Fax: (781) 631-4319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS9045 Florida

Profile Details

NPI number 1093791378
LBN Legal business name Gast, Lisa A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 12th, 2022 - about 3 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 1093791378 NPPES
Florida MEDICAID 273996800

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