Individual
LISA B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
168 MAIN STREET, SUITE 3, GREAT BARRINGTON, MA 01230
(413) 446-1850
(833) 760-4105
Mailing address
168 MAIN STREET, SUITE 3, GREAT BARRINGTON, MA 01230
(413) 446-1850
(833) 760-4105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041694A
—
MA
05
—
2111306
—
MA
Enumeration date
06/05/2006
Last updated
03/24/2026
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