Individual
DR. LISA MARIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 KIMBALL LN, LAHEY LYNNFIELD, LYNNFIELD, MA 01940-2682
(781) 213-4040
(781) 213-5064
Mailing address
628 SALEM ST, LYNNFIELD, MA 01940-2340
(781) 598-4424
(781) 598-0630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
154744
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059943A
—
MA
Enumeration date
07/25/2006
Last updated
03/04/2011
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