Keller, Lisa Michelle

Keller, Lisa Michelle is an individual health care provider with primary practice located at 2014 Washington St , Newton MA 02462-1607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Keller, Lisa Michelle can be contacted via phone (617) 219-1230.

Contact Information

Primary practice address
2014 Washington St Newton MA 02462-1607
Phone: (617) 219-1230
Fax: (617) 726-0453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN258803 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN258803 Massachusetts

Profile Details

NPI number 1568529014
LBN Legal business name Keller, Lisa Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated May 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568529014 NPPES
Massachusetts MEDICAID 110087835A

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