Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 239047 | MA |
Y | 2080P0205X | Pediatric Endocrinologist | MD14142 | RI |
NPI | 1215197355 |
---|---|
Provider Name | Dr. Lisa Michelle Swartz Topor |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 23/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD14142 | LICENSE (01) | RI |