Wollman, Lisa Tracy

Wollman, Lisa Tracy is an individual health care provider with primary practice located at 690 Canton St Ste 240 , Westwood MA 02090-2326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Wollman, Lisa Tracy can be contacted via phone (339) 204-9516.

Contact Information

Primary practice address
690 Canton St Ste 240 Westwood MA 02090-2326
Phone: (339) 204-9516
Fax: (781) 459-4698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 77484 Massachusetts

Profile Details

NPI number 1578544748
LBN Legal business name Wollman, Lisa Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Nov 21st, 2019 - about 5 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 1578544748 NPPES
Massachusetts MEDICAID 3108759
Massachusetts Other J13877
Massachusetts Other 739827

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