Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 247951 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 247951 | MA |
NPI | 1104098482 |
---|---|
Provider Name | Lisa M Fleming |
First Address | Wayland, MA 01778-3855 |
Second Address | Needham, MA 02492-2505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 05/02/2018 |