Individual
DR. LISA MACVANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-4169
(978) 466-4017
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1020741
MA
Other
Enumeration date
03/25/2021
Last updated
11/04/2024
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