Individual
MRS. LISA M DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
450 BROOKLINE AVE, DA2116, BOSTON, MA 02215-5418
(617) 632-5925
(617) 632-4773
Mailing address
450 BROOKLINE AVE, DA2116, BOSTON, MA 02215-5418
(617) 632-5925
(617) 632-4773
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
229154
MA
Other
Enumeration date
05/24/2006
Last updated
08/28/2013
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