Individual
LISA D SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 BORTHWICK AVENUE, SUITE 201 WEST, PORTSMOUTH, NH 03801
(603) 433-9575
(603) 430-0104
Mailing address
401 ANDOVER STREET, SUITE 101, NO ANDOVER, MA 01845
(978) 691-5690
(978) 691-5690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101051160
VA
207N00000X
Dermatology Physician
017869
ME
207N00000X
Dermatology Physician
Primary
14048
NH
207N00000X
Dermatology Physician
235341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005900671
—
VA
Enumeration date
07/11/2006
Last updated
09/21/2012
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