Individual
DR. LISA LAVINE NAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 COURNOYER RD, VINEYARD HAVEN, MA 02568-7625
(508) 693-1300
(508) 639-1305
Mailing address
24 COURNOYER RD, VINEYARD HAVEN, MA 02568-7625
(508) 693-1300
(508) 693-1305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
72590
MA
208D00000X
General Practice Physician
Primary
72590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086513A
—
MA
Enumeration date
05/19/2007
Last updated
11/16/2015
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