Individual
LISA MARIE GEHEB VOPAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-8597
Mailing address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
250767
MA
Other
Enumeration date
06/23/2008
Last updated
06/27/2012
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