Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 220050 | MA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 220050 | MA |
NPI | 1104865344 |
---|---|
Provider Name | Lisa Dunn-Albanese |
First Address | Newton, MA 02462-1607 |
Second Address | Boston, MA 02115-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 27/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H65425 | (02) | OH |