Individual
DR. LISA BRANCATO CORKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 CONGRESS ST, SUITE 1F, QUINCY, MA 02169
(617) 471-3411
(617) 471-3584
Mailing address
500 CONGRESS ST, SUITE 1F, QUINCY, MA 02169
(617) 471-3411
(617) 471-3584
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
232582
MA
208000000X
Pediatrics Physician
23933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2148935
—
MA
Enumeration date
10/10/2006
Last updated
12/15/2011
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