Individual
DR. LISA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
230 FOREST PARK AVE, SPRINGFIELD, MA 01108-2034
(413) 733-0778
Mailing address
230 FOREST PARK AVE, SPRINGFIELD, MA 01108-2034
(413) 733-0778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4253232
AETNA
—
01
—
767546
TUFTS HEALTH PLAN
—
01
—
Y36015
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/18/2005
Last updated
07/08/2007
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