Individual
DR. LISA M SCHWEIGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301081697
MI
207P00000X
Emergency Medicine Physician
Primary
MD12968
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001156101
MEDICARE
RI
01
—
07/01/2009
UNITED HEALTH CARE
RI
01
—
07/30/2009
BCBS
RI
01
—
08/18/2009
NHPRI
RI
01
—
09/22/2009
TUFTS HEALTH PLAN
MA
05
—
105214897
—
MI
05
—
1100 82852A
—
MA
05
—
LS76189
—
RI
01
—
P00775374
RR MEDICARE
RI
Enumeration date
04/10/2007
Last updated
02/04/2010
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