Serra, Lisa G
Serra, Lisa G is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Serra, Lisa G can be contacted via phone (781) 744-8000.Contact Information
Primary practice address
Lahey Clinic 41 Mall Rd
Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-5263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 208904 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 208904 | Massachusetts |
Profile Details
| NPI number | 1053475509 |
|---|---|
| LBN Legal business name | Serra, Lisa G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Feb 17th, 2011 - about 14 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 | 1053475509 | NPPES |
| Massachusetts | MEDICAID | 110003596A |
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