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Individual

LISA R NATKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
31 ROCHE BROTHERS WAY, TWO WASHINGTON PLACE, NORTH EASTON, MA 02356-1032
(508) 894-8760
(508) 894-8762
Mailing address
31 ROCHE BROTHERS WAY, TWO WASHINGTON PLACE, NORTH EASTON, MA 02356-1032
(508) 894-8760
(508) 894-8762

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
217986
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2011051
MA
Enumeration date
11/08/2005
Last updated
09/20/2013
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