Individual
LISA A. PLANETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 789-8048
Mailing address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 789-8048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79242
MA
208600000X
Surgery Physician
79242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189597
—
MA
Enumeration date
05/13/2006
Last updated
11/08/2019
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