Individual
MS. LISA DOMAL SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 ROCHE BROS WAY STE 220, ONE WASHINGTON ST, NORTH EASTON, MA 02356-1000
(508) 230-0155
(508) 230-0145
Mailing address
15 ROCHE BROS WAY STE 220, ONE WASHINGTON ST, NORTH EASTON, MA 02356-1000
(508) 230-0155
(508) 230-0145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150105
MA
207V00000X
Obstetrics & Gynecology Physician
150105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189911
—
MA
01
—
711529
HPHC
MA
01
—
J19779
BCBS
MA
Enumeration date
08/31/2006
Last updated
01/10/2012
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