Individual
DR. LISA GILL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1200
(508) 363-7459
(508) 363-6043
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1200
(508) 363-7459
(508) 363-6043
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
47303
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079945
—
MA
Enumeration date
03/23/2006
Last updated
07/09/2007
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