Individual
LISA J GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
118 VALENTINE CIR # 112, WARWICK, RI 02886-9115
(409) 789-8212
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
269554
MA
Other
Enumeration date
08/31/2006
Last updated
08/17/2020
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