Individual
LISA MARIE ELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
990 PARADISE RD, SUITE #1G, SWAMPSCOTT, MA 01907-1395
(781) 581-1500
Mailing address
50 AUBURN ST, SAUGUS, MA 01906-2318
(617) 232-1299
(617) 232-7959
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
87
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110029042A
—
MA
Enumeration date
02/23/2007
Last updated
11/08/2019
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