Nagy, Lisa Lavine

Nagy, Lisa Lavine is an sole proprietor health care provider with primary practice located at 24 Cournoyer Rd , Vineyard Haven MA 02568-7625. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Nagy, Lisa Lavine can be contacted via phone (508) 693-1300.

Contact Information

Primary practice address
24 Cournoyer Rd Vineyard Haven MA 02568-7625
Phone: (508) 693-1300
Fax: (508) 639-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 72590 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 72590 Massachusetts

Profile Details

NPI number 1770791030
LBN Legal business name Nagy, Lisa Lavine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2007
Last updated Nov 16th, 2015 - about 10 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 1770791030 NPPES
Massachusetts MEDICAID 110086513A

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