Individual
LISA B MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 WASHINGTON ST, SUITE 240, NORWOOD, MA 02062-3441
(781) 769-4660
(781) 769-0371
Mailing address
177 NORTH ST APT 5, WALPOLE, MA 02081-2998
(508) 660-6826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1193
MA
363AS0400X
Surgical Physician Assistant
1193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831230341
NPI
MA
Enumeration date
02/08/2007
Last updated
01/08/2024
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