Individual
DR. LISA K. GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PARK WAY, HAVERHILL, MA 01830-6278
(978) 521-3230
(978) 521-3256
Mailing address
1 PARKWAY, HAVERHILL, MA 01830-6278
(978) 521-3230
(978) 521-3256
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110002162A
—
MA
Enumeration date
11/02/2005
Last updated
02/16/2019
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