Individual
DR. LISA TRACY WOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
690 CANTON ST STE 240, WESTWOOD, MA 02090-2326
(339) 204-9516
(781) 459-4698
Mailing address
690 CANTON ST STE 240, WESTWOOD, MA 02090-2326
(339) 204-9516
(781) 459-4698
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
77484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108759
—
MA
01
—
739827
TUFTS HEALTH PLAN
MA
01
—
J13877
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
11/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us