Individual
LISA FOWNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
26 TRAPELO RD, BELMONT, MA 02478
(617) 932-1814
(617) 932-1843
Mailing address
105 BARTLETT AVE, BELMONT, MA 02478-1805
(617) 932-1814
(617) 932-1843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
152682
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN152682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5071
BCBS
MA
Enumeration date
10/26/2006
Last updated
08/16/2018
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