Individual
LISA P ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL, BOSTON, MA 02115-5724
(617) 355-6363
Mailing address
1090 BEACON ST, APT #1D, BROOKLINE, MA 02446-3917
(617) 355-6363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228440
MA
Other
Enumeration date
05/26/2006
Last updated
11/18/2021
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