Individual
DR. LISA SIBERT CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
151 EVERETT AVENUE, CHELSEA HEALTHCARE CENTER, CHELSEA, MA 02150-1807
(617) 889-8580
(617) 889-8579
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 889-8580
(617) 889-8579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202620
MA
208000000X
Pediatrics Physician
Primary
202620
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101231
—
MA
01
—
202620
TUFTS HEALTH PLAN
MA
01
—
J22599
BCBS MA
MA
Enumeration date
08/30/2006
Last updated
02/14/2014
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