Individual
LISA D. YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 01655-0002
(774) 443-0537
(774) 443-0544
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
245548
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104012A
—
MA
Enumeration date
07/12/2010
Last updated
12/17/2021
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