Sweeney, Lisa Domal

Sweeney, Lisa Domal is an individual health care provider with primary practice located at 15 Roche Bros Way Ste 220 One Washington St, North Easton MA 02356-1000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sweeney, Lisa Domal can be contacted via phone (508) 230-0155.

Contact Information

Primary practice address
15 Roche Bros Way Ste 220 One Washington St North Easton MA 02356-1000
Phone: (508) 230-0155
Fax: (508) 230-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 150105 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 150105 Massachusetts

Profile Details

NPI number 1083726194
LBN Legal business name Sweeney, Lisa Domal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 10th, 2012 - about 12 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 1083726194 NPPES
Massachusetts MEDICAID 3189911
Massachusetts Other J19779
Massachusetts Other 711529

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