Individual
MS. LISA EVANS CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
336 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 943-5224
(508) 949-2211
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN181340
MA
363LP0200X
Pediatric Nurse Practitioner
RN181340
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348091
—
MA
Enumeration date
02/13/2006
Last updated
11/16/2020
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