Active NPIIndividual provider

Lisa Mccordic, RNCS

Registered Nurse, Psych/Mental Health in Medford, Massachusetts

NPI Number1962681460
Practice location
151 Mystic Ave, Suite Six, Medford, MA 02155-4632
Fax
781-396-1439
Last updated
October 31, 2007

Lisa Mccordic is a Registered Nurse, Psych/Mental Health based in Medford, MA. Lisa Mccordic practices in Medford, MA and has the professional credentials of RNCS. The NPI Number for Lisa Mccordic is 1962681460 and holds a License No. 178205 (MA). The current practice location address for Lisa Mccordic is 151 Mystic Ave, Suite Six, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.

Provider Profile Details

NPI Number
1962681460
Provider Name
Lisa Mccordic
Credential
RNCS
Provider Entity Type
Individual
Gender
Female
Address
151 Mystic Ave, Suite Six, Medford, MA 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
No
Other Names
-- Lisa Luczkow, CS (Former Name)
Provider Enumeration Date
October 31, 2007
Last Update Date
October 31, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic Ave
Suite Six
Medford, MA 02155-4632
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
151 Mystic Ave
Suite Six
Medford, MA 02155-4632
City
Medford
State
MA
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439

License Information

License Number
178205
License State
MA
Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X · 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 Mccordic, RNCS?

The NPI number of Lisa Mccordic, RNCS is 1962681460. It was assigned on October 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Lisa Mccordic, RNCS?

Lisa Mccordic, RNCS is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in MA under license number 178205.

Where does Lisa Mccordic, RNCS practice?

The practice location is 151 Mystic Ave, Suite Six, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (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 1962681460 directly on the NPPES registry website.

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