Individual
LISA B ARVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 COMMONWEALTH AVE, BOSTON, MA 02215-1001
(617) 616-1600
(617) 616-1675
Mailing address
1055 COMMONWEALTH AVENUE, BOSTON, MA 02215
(617) 616-1600
(617) 616-1675
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARV1-0433-8038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARV1-0433-8038
NCC ID
MA
Enumeration date
07/31/2008
Last updated
07/31/2008
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