Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 017869 | ME |
Y | 207N00000X | Dermatologist | 14048 | NH |
N | 207N00000X | Dermatologist | 235341 | MA |
NPI | 1043245046 |
---|---|
Provider Name | Lisa D Sherman |
First Address | No Andover, MA 01845 |
Second Address | Portsmouth, NH 03801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 21/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005900671 | (05) | VA |
F53668 | (02) |