Individual
LISA ROBIN DILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
59684
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059684
TUFTS
—
01
—
23287
FALLON COMM HEALTH PLAN
—
01
—
2927582
AETNA US HEALTHCARE
—
01
—
3082431
MASSHEALTH MA MEDICAID
—
01
—
6563998
CIGNA
—
01
—
E54937DF
HPHC DFCI ONLY
—
01
—
J10214
BCBS OF MA
—
Enumeration date
07/17/2006
Last updated
07/08/2007
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