MEDICARE: LISA R NATKIN MD

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
1	208000000X	Pediatrics Physician	217986	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851372726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA R NATKIN MD

Provider Business Mailing Address
First Line	:	31 ROCHE BROTHERS WAY
Second Line	:	TWO WASHINGTON PLACE
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1032
Country	:	US
Telephone Number	:	508-894-8760
Fax Number	:	508-894-8762

Provider Business Practice Location Address
First Line	:	31 ROCHE BROTHERS WAY
Second Line	:	TWO WASHINGTON PLACE
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1032
Country	:	US
Telephone Number	:	508-894-8760
Fax Number	:	508-894-8762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	09/20/2013

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Directions to “ LISA R NATKIN MD” Practice Location

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