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DR. LISA PRUSSICK MD
NPI 1609434950
Dermatology in Boston, MA

Active since June 02, 2019
800 WASHINGTON STREET, BIEWEND 14TH FLOOR, BOSTON, MA 02116(617) 636-1576 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2023, Jun 2, 2019 (2 updates tracked since 2019).

About Dr. Lisa Prussick Md NPPES

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

DR. LISA PRUSSICK MD (NPI 1609434950) is an individual dermatology provider in Boston, Massachusetts, licensed in Massachusetts (280404) and active in the NPI registry since June 2019. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1609434950
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. LISA PRUSSICKCredential: MD
Location Address800 WASHINGTON STREET, BIEWEND 14TH FLOORBoston, MA 02116
Mailing Address800 Washington StBoston, MA 02111-1552
Phone(617) 636-1576
Sole ProprietorYes
Enumeration DateJune 2, 2019
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 17, 2022
✔ NPI 1609434950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 280404
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
800 WASHINGTON STREET, Boston, MA 02116
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Secondary Practice Location 1

Location 12100 Dorchester AveBoston, MA 02124-5615 · Phone (617) 506-2726

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Prussick's NPI number?

The NPI number for Lisa Prussick is 1609434950. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Where is Lisa Prussick located?

Lisa Prussick practices at 800 Washington Street Biewend 14th Floor, Boston, MA 02116. The listed phone number is (617) 636-1576.

What is Lisa Prussick's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Lisa Prussick was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.