Individual
LISA E SWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-6876
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3700
MA
363AM0700X
Medical Physician Assistant
0516
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332962
—
NH
Enumeration date
07/08/2006
Last updated
03/24/2022
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