Individual
LISA F WEINSTEIN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 INDUSTRIAL DR, MASHPEE, MA 02649-3464
(508) 778-4777
(508) 771-9555
Mailing address
297 NORTH ST STE 221, HYANNIS, MA 02601-5133
(085) 862-7777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222899
MA
208M00000X
Hospitalist Physician
222899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA22191
HPHC
MA
01
—
J28282
BCBS
MA
Enumeration date
02/23/2006
Last updated
06/17/2019
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