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NPI Code Detail

MEDICARE: DR. LISA REMBETSY-BROWN M.D.

MEDICARE: DR. LISA REMBETSY-BROWN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician73806MA

General Provider Information

NPI Number : 1306811013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA REMBETSY-BROWN M.D.
Provider Business Mailing Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-6409
Fax Number : 978-874-5590
Provider Business Practice Location Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-6409
Fax Number : 978-874-5590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/26/2010

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