Individual
DR. LISA A LORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 NORTH ST, RADIOLOGY DEPARTMENT, PITTSFIELD, MA 01201-4132
(413) 447-2453
(413) 447-2441
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
154310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120251
—
CT
05
—
01753584
—
NY
05
—
1013542
—
VT
05
—
110058759A
—
MA
01
—
11085457
CAQH ID#
—
Enumeration date
05/23/2006
Last updated
11/16/2017
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