Mrs. Lisa Dumouchel
Nurse Practitioner - Adult Health
330 Brookline Ave Fa 813
Boston
, Massachusetts 02215-5400
Mrs. Lisa Dumouchel
Nurse Practitioner - Adult Health
330 Brookline Ave Fa 813
Boston
, Massachusetts 02215-5400
(617) 632-9890
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Lisa Dumouchel
- 330 Brookline Ave Fa 813
- Boston, MA
- Zip : 02215-5400
- Fax : (617) 632-9890
- Phone : (617) 632-9880
Second Address
- Mrs. Lisa Dumouchel
- 330 Brookline Ave Fa 813
- Boston, MA
- Zip : 02215-5400
- Fax : (617) 632-9890
- Phone : (617) 632-9880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 203471 | MA |
National Provider Identifier
| NPI | 1013960699 |
|---|---|
| Provider Name | Mrs. Lisa Dumouchel |
| First Address | Boston, MA 02215-5400 |
| Second Address | Boston, MA 02215-5400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 30/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0706973 | (05) | MA |
| NP5150 | BLUE CROSS BLUE SHIELD (01) | MA |
| Q53628 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.