Individual
MRS. LISA B FIASCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
10 NEW DRIFTWAY, SUITE 201, SCITUATE, MA 02066-4530
(781) 544-1388
(781) 544-3396
Mailing address
10 NEW DRIFTWAY, SUITE 201, SCITUATE, MA 02066-4530
(781) 544-1388
(781) 544-3396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
137051
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340731
—
MA
01
—
NP2425
BCBS
MA
Enumeration date
11/03/2005
Last updated
05/11/2012
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