Individual
DR. LISA B NACHTIGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ZERO EMERSON PLACE, STE 112 NEUROENDOCRINE, BOSTON, MA 02114
(617) 726-7948
(617) 726-1241
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-7948
(617) 726-1241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
152939
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
152939
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3163059
—
MA
01
—
766747
TUFTS HEALTH PLAN
MA
01
—
J17361
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
11/13/2012
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