Peck, Liza Kimball

Peck, Liza Kimball is an individual health care provider with primary practice located at 761 Worcester Rd , Framingham MA 01701-5224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Peck, Liza Kimball can be contacted via phone (508) 872-1614.

Contact Information

Primary practice address
761 Worcester Rd Framingham MA 01701-5224
Phone: (508) 872-1614
Fax: (508) 620-6572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN253707 Massachusetts

Profile Details

NPI number 1659470342
LBN Legal business name Peck, Liza Kimball
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated May 26th, 2017 - about 9 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 1659470342 NPPES
Massachusetts MEDICAID 110025212A
Massachusetts Other 1659470342

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