Individual
DR. LISA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DMD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5775
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856591
MA
207R00000X
Internal Medicine Physician
Primary
1013196
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2014
Last updated
09/18/2023
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