Luz, Lisa

Luz, Lisa is an individual health care provider with primary practice located at 725 Concord Ave Suite 5100, Cambridge MA 02138-1040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Luz, Lisa can be contacted via phone (617) 499-6767.

Contact Information

Primary practice address
725 Concord Ave Suite 5100 Cambridge MA 02138-1040
Phone: (617) 499-6767
Fax: (617) 499-6768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 207851 Massachusetts

Profile Details

NPI number 1659394435
LBN Legal business name Luz, Lisa
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 17th, 2010 - about 15 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 1659394435 NPPES
Massachusetts MEDICAID 110082785A

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