Lisa B Bob, MD
Family Medicine, Geriatric Medicine in Pawtucket, Rhode Island
1598721656- Practice location
- 407 East Ave, Suite 110, Pawtucket, RI 02860-5290
- Phone
- 401-728-8245
- Fax
- 401-728-6453
- Last updated
- April 16, 2013
Lisa B Bob is a Family Medicine, Geriatric Medicine based in Pawtucket, RI. Lisa B Bob practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Lisa B Bob is 1598721656 and holds a License No. MD06067 (RI). The current practice location address for Lisa B Bob is 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 and can be reached out via phone at 401-728-8245 and via fax at 401-728-6453.
Provider Profile Details
- NPI Number
- 1598721656
- Provider Name
- Lisa B Bob
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 407 East Ave, Suite 110, Pawtucket, RI 02860-5290
- Phone Number
- 401-728-8245
- Fax Number
- 401-728-6453
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Sole Proprietor
- No
- Other Names
- Lisa B Boult, MD (Former Name)
- Provider Enumeration Date
- April 26, 2006
- Last Update Date
- April 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 407 East Ave
Suite 110
Pawtucket, RI 02860-5290 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-5290
- Phone Number
- 401-728-8245
- Fax Number
- 401-728-6453
Provider Business Mailing Address Details
- Address
- 17 Virginia Ave
Suite 107
Providence, RI 02905-4406 - City
- Providence
- State
- RI
- Zip
- 02905-4406
- Phone Number
- 401-784-4923
- Fax Number
- 401-784-4902
License Information
- License Number
- MD06067
- License State
- RI
- Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 B Bob, MD?
The NPI number of Lisa B Bob, MD is 1598721656. It was assigned on April 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa B Bob, MD?
Lisa B Bob, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in RI under license number MD06067.
Where does Lisa B Bob, MD practice?
The practice location is 407 East Ave, Suite 110, Pawtucket, RI 02860-5290. The office can be reached at 401-728-8245 (phone) or 401-728-6453 (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 1598721656 directly on the NPPES registry website.