Individual
DR. LISA PRUSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON STREET, BIEWEND 14TH FLOOR, BOSTON, MA 02116
(617) 636-1576
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
280404
MA
Other
Enumeration date
06/02/2019
Last updated
05/09/2023
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