Active NPIIndividual provider

Mr. Dimitri Lamisere, AGPCNP-BC

Nurse Practitioner, Primary Care in Watertown, Massachusetts

NPI Number1770232787
Practice location
485 Arsenal St, Watertown, MA 02472-5091
Fax
—
Last updated
March 18, 2022

Dimitri Lamisere is a Nurse Practitioner, Primary Care based in Watertown, MA. Dimitri Lamisere practices in Watertown, MA and has the professional credentials of AGPCNP-BC. The NPI Number for Dimitri Lamisere is 1770232787 and holds a License No. 2337402 (MA). The current practice location address for Dimitri Lamisere is 485 Arsenal St, Watertown, MA 02472-5091 and can be reached out via phone at 617-955-0810.

Provider Profile Details

NPI Number
1770232787
Provider Name
Dimitri Lamisere
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Male
Address
485 Arsenal St, Watertown, MA 02472-5091
Phone Number
617-955-0810
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2022
Last Update Date
March 18, 2022
Certification Date
March 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
485 Arsenal St
Watertown, MA 02472-5091
Zip
02472-5091
Phone Number
617-955-0810
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
1760 Revere Beach Pkwy
Everett, MA 02149-5920
City
Everett
State
MA
Zip
02149-5920

License Information

License Number
2337402
License State
MA
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · 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 Mr. Dimitri Lamisere, AGPCNP-BC?

The NPI number of Mr. Dimitri Lamisere, AGPCNP-BC is 1770232787. It was assigned on March 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Mr. Dimitri Lamisere, AGPCNP-BC?

Mr. Dimitri Lamisere, AGPCNP-BC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number 2337402.

Where does Mr. Dimitri Lamisere, AGPCNP-BC practice?

The practice location is 485 Arsenal St, Watertown, MA 02472-5091. The office can be reached at 617-955-0810 (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 1770232787 directly on the NPPES registry website.

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