Gill, Lisa

Gill, Lisa is an individual health care provider with primary practice located at 123 Summer St , Worcester MA 01608-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Gill, Lisa can be contacted via phone (508) 363-7459.

Contact Information

Primary practice address
123 Summer St Worcester MA 01608-1200
Phone: (508) 363-7459
Fax: (508) 363-6043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 47303 Massachusetts

Profile Details

NPI number 1326007741
LBN Legal business name Gill, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1326007741 NPPES
Massachusetts MEDICAID 3079945

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