Lisa A Thayer M.D.

NPI 1073593299 - Pediatrics - 208000000X

NPI Details
NPI 1073593299
Gender Female
Enumeration Date 01/23/2006
Last Updated 06/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
485 ARSENAL ST
WATERTOWN MA, 02472-5091, US
Phone (617) 972-5100
Fax
Business Location
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON MA, 02109-4806, US
Phone (617) 559-8239
Fax
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 155172
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According to our database, Lisa A Thayer M.D. NPI is 1073593299, taxonomy code is 208000000X and license number is 155172, license state is located at Massachusetts. Lisa A Thayer M.D. physically located at 485 Arsenal St, Watertown MA, 02472-5091. NPI Number Lisa A Thayer M.D. has the Individual type.

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1073593299 NPI number is provided on an as is basis without warranty of any kind. 1073593299 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A Thayer M.D. are for informational purposes only.