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LISA B BOB M.D.
NPI 1598721656
Family Medicine - Geriatric Medicine in Pawtucket, RI

Active since April 26, 2006
407 EAST AVE, SUITE 110, PAWTUCKET, RI 02860(401) 728-8245(401) 728-6453 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lisa B Bob M.d. NPPES

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

LISA B BOB M.D. (NPI 1598721656) is an individual geriatric medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD06067) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1598721656
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameLISA B BOBCredential: M.D.
Location Address407 EAST AVE, SUITE 110Pawtucket, RI 02860-5290
Mailing Address17 Virginia Ave, Suite 107Providence, RI 02905-4406 · (401) 784-4923 · Fax (401) 784-4902
Phone(401) 728-8245
Fax(401) 728-6453
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateApril 16, 2013
✔ NPI 1598721656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in RI · MD06067
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
407 EAST AVE, Pawtucket, RI 02860
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Other Names 1

Former Name (1)Lisa B Boult M.d.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHAVI YERNENI M.D.
Internal Medicine
407 EAST AVE, SUITE 120
PAWTUCKET, RI 02860
Providence County (401) 725-4700
DR. PATRICIA N SOSCIA M.D.
Internal Medicine (Rheumatology)
407 EAST AVE, SUITE 250
PAWTUCKET, RI 02860
Providence County (401) 351-2280
DR. ANDREW A NOWAK MD
Internal Medicine (Cardiovascular Disease)
407 EAST AVE, SUITE 130
PAWTUCKET, RI 02860
Providence County (401) 726-7770
RHODE ISLAND HOSPITAL
Clinic/Center (Multi-Specialty)
407 EAST AVE, SUITE 250
PAWTUCKET, RI 02860
Providence County (401) 721-5706
AARON A DAVIS DO
Family Medicine
407 EAST AVE, SUITE 150
PAWTUCKET, RI 02860
Providence County (401) 727-4800
TIMOTHY FARRELL MD
Family Medicine
407 EAST AVE, UNIVERSITY MEDICINE GERIATRICS PRACTICE
PAWTUCKET, RI 02860
Providence County (401) 728-7270
JOHN B MURPHY MD
Family Medicine (Geriatric Medicine)
407 EAST AVE, SUITE 110
PAWTUCKET, RI 02860
Providence County (401) 728-7270
DR. CHRISTINE V HERBERT M.D.
Internal Medicine
407 EAST AVE, SUITE120
PAWTUCKET, RI 02860
Providence County (401) 725-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bob's NPI number?

The NPI number for Lisa Bob is 1598721656. It was assigned to this individual provider in the NPPES registry on April 26, 2006. The provider is also known as Lisa B Boult M.D..

Where is Lisa Bob located?

Lisa Bob practices at 407 East Ave Suite 110, Pawtucket, RI 02860. The listed phone number is (401) 728-8245.

What is Lisa Bob's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Lisa Bob was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.