What is Lisa Samargedlis's NPI number?

The NPI number assigned to this healthcare provider is 1073792636, enumerated as a individual on October 31, 2007.

Where is the provider located?

The provider is located at 1115 W CHESTNUT ST BROCKTON, MA 02301 and the phone number is (508) 559-0473.

LISA ANN SAMARGEDLIS B.S. - NPI 1073792636 - Student in an Organized Health Care Education/Training Program in Brockton, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Lisa Ann Samargedlis B.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN SAMARGEDLIS B.S. (NPI 1073792636) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1073792636

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLISA ANN SAMARGEDLISCredential: B.S.

Location Address1115 W CHESTNUT STBrockton, MA 02301-7501

Mailing Address31 Park Dr, Unit #8Boston, MA 02215-4916 · (602) 790-6074

Phone(508) 559-0473

Sole ProprietorNo

Enumeration DateOctober 31, 2007

✔ NPI 1073792636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1115 W CHESTNUT ST, Brockton, MA 02301

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