Active NPIIndividual provider

Dr. Lisa M Cannon, MD

Pediatrics in Westwood, Massachusetts

NPI Number1548385354
Practice location
541 High Street, Westwood, MA 02090
Fax
781-407-0097
Last updated
June 26, 2015

Lisa M. Cannon is a Pediatrics based in Westwood, MA. Lisa M. Cannon practices in Westwood, MA and has the professional credentials of MD. The NPI Number for Lisa M. Cannon is 1548385354 and holds a License No. C1-0009152 (DE). The current practice location address for Lisa M. Cannon is 541 High Street, Westwood, MA 02090 and can be reached out via phone at 781-326-7700 and via fax at 781-407-0097.

Provider Profile Details

NPI Number
1548385354
Provider Name
Lisa M. Cannon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
541 High Street, Westwood, MA 02090
Phone Number
781-326-7700
Fax Number
781-407-0097
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Other Names
Dr. Lisa M Guardabascio, MD (Former Name)
Provider Enumeration Date
March 20, 2007
Last Update Date
June 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
541 High Street
Westwood, MA 02090
Zip
02090
Phone Number
781-326-7700
Fax Number
781-407-0097
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
541 High Street
Westwood, MA 02090
City
Westwood
State
MA
Zip
02090
Phone Number
781-326-7700
Fax Number
781-407-0097

License Information

License Number (1)
C1-0009152
License State (1)
DE
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
C7-000 3532
License State (2)
DE
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
MT188481
License State (3)
PA
Taxonomy (3)
Pediatrics · 208000000X
License Number (4)
MD436025
License State (4)
PA
Taxonomy (4)
Pediatrics · 208000000X
License Number (5)
MD436025
License State (5)
PA
Taxonomy (5)
Hospitalist · 208M00000X
License Number (6)
MD436025
License State (6)
PA
Taxonomy (6)
General Practice · 208D00000X
License Number (7)
244659
License State (7)
MA
Taxonomy (7)
Pediatrics · 208000000X · 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 Dr. Lisa M Cannon, MD?

The NPI number of Dr. Lisa M Cannon, MD is 1548385354. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa M Cannon, MD?

Dr. Lisa M Cannon, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in DE under license number C1-0009152.

Where does Dr. Lisa M Cannon, MD practice?

The practice location is 541 High Street, Westwood, MA 02090. The office can be reached at 781-326-7700 (phone) or 781-407-0097 (fax).

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 1548385354 directly on the NPPES registry website.

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