Healthcare Provider Details

I. General information

NPI: 1013919497
Provider Name (Legal Business Name): LISA MARCHAND N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 GREAT RD
ACTON MA
01720-4004
US

IV. Provider business mailing address

323 LOWELL ST
ANDOVER MA
01810-4501
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 978-783-5000
  • Fax: 978-313-8180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217928
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: