Pugh, Lisa J
Pugh, Lisa J is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pugh, Lisa J can be contacted via phone (978) 977-4000.Contact Information
Primary practice address
2 Essex Center Dr
Peabody MA 01960-2902
Phone: (978) 977-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 197514 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 197514 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 197514 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 197514 | Massachusetts |
Profile Details
| NPI number | 1821055773 |
|---|---|
| LBN Legal business name | Pugh, Lisa J |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Sep 5th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821055773 | NPPES |
| Massachusetts | Other | NP3032 | BLUE CROSS |
| Massachusetts | Other | 39158 | BLUE CROSS |
| Massachusetts | MEDICAID | 0374971 | BLUE CROSS |
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