Provider Demographics
NPI:1548351679
Name:ARBESFELD, LISA ELLEN (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ELLEN
Last Name:ARBESFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:57 BEDFORD ST
Mailing Address - Street 2:STE 211
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420
Mailing Address - Country:US
Mailing Address - Phone:781-862-2322
Mailing Address - Fax:781-863-0927
Practice Address - Street 1:57 BEDFORD ST
Practice Address - Street 2:STE 211
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420
Practice Address - Country:US
Practice Address - Phone:781-862-2322
Practice Address - Fax:781-863-0927
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75780207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA075780OtherTUFTS
MA4326OtherHARV PIL
MA4326OtherHARV PIL
F47228Medicare UPIN