| Doctor Name: | MRS. LISA B FIASCONE |
| NPI Number: | 1497746853 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 137051 |
| Business Practice Address: | 10 New Driftway Suite 201 Scituate, MA - 020664530 |
| Business Phone Number: | 7815441388 |
| Business Fax Number: | 7815443396 |
| Mailing Address: | 10 New Driftway, Suite 201 SCITUATE |
| State: | MA |
| Postal Code: | 020664530 |
| Phone Number: | 7815441388 |
| Fax Number: | 7815443396 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 05/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 137051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |