Individual
LISA M BOCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-2846
(508) 856-3981
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234119
MA
207RG0100X
Gastroenterology Physician
234119
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079192A
—
MA
Enumeration date
01/10/2007
Last updated
11/05/2020
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