Individual
DR. LISA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, ANESTHESIA ASSOCIATES CLN 309, BOSTON, MA 02114-2696
(617) 726-8590
(617) 726-8984
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
204380
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144461
—
MA
01
—
204380
TUFTS HEALTH PLAN
MA
01
—
J23763
BCBS MA
MA
Enumeration date
11/11/2005
Last updated
07/08/2007
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