Doctor Name: | MRS. LISA L. FORAN |
NPI Number: | 1093855298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | AP 730 |
Business Practice Address: | 150 York St Stoughton, MA - 020721829 |
Business Phone Number: | 7813440600 |
Business Fax Number: | |
Mailing Address: | 5 Columbine Rd, MILTON |
State: | MA |
Postal Code: | 021861719 |
Phone Number: | 6176453667 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | AP 730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |