Active NPIIndividual provider

Lisa L Peterson, DMD

Dentist in Millbury, Massachusetts

NPI Number1063677250
Practice location
116 Main St, Millbury, MA 01527-2021
Fax
—
Last updated
July 14, 2009

Lisa Lanzillotti Peterson is a Dentist based in Millbury, MA. Lisa Lanzillotti Peterson practices in Millbury, MA and has the professional credentials of DMD. The NPI Number for Lisa Lanzillotti Peterson is 1063677250 and holds a License No. 10120 (MA). The current practice location address for Lisa Lanzillotti Peterson is 116 Main St, Millbury, MA 01527-2021 and can be reached out via phone at 508-865-2622.

Provider Profile Details

NPI Number
1063677250
Provider Name
Lisa Lanzillotti Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
116 Main St, Millbury, MA 01527-2021
Phone Number
508-865-2622
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Other Names
-- Lisa Lanzillotti (Former Name)
Provider Enumeration Date
July 28, 2008
Last Update Date
July 14, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
116 Main St
Millbury, MA 01527-2021
Zip
01527-2021
Phone Number
508-865-2622
Millbury, MA 01527Get directions →

Provider Business Mailing Address Details

Address
116 Main St
Millbury, MA 01527-2021
City
Millbury
State
MA
Zip
01527-2021
Phone Number
508-865-2622

License Information

License Number
10120
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa L Peterson, DMD?

The NPI number of Lisa L Peterson, DMD is 1063677250. It was assigned on July 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Lisa L Peterson, DMD?

Lisa L Peterson, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 10120.

Where does Lisa L Peterson, DMD practice?

The practice location is 116 Main St, Millbury, MA 01527-2021. The office can be reached at 508-865-2622 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063677250 directly on the NPPES registry website.

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