Individual
LISA INTRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 287-3794
(978) 287-3729
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 287-3794
(978) 287-3729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
204701
MA
2085R0202X
Diagnostic Radiology Physician
24771
ME
2085R0202X
Diagnostic Radiology Physician
MD11513
RI
2085R0202X
Diagnostic Radiology Physician
MD29855
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110001564A
—
MA
05
—
1245284983
—
ME
Enumeration date
05/19/2006
Last updated
12/03/2025
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