| Dr Lisa B Noble, MD | |
|
563 Main St, Bolton, MA 01740-1300 | |
| (978) 586-3939 | |
| (978) 586-3955 |
| Full Name | Dr Lisa B Noble |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 563 Main St, Bolton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831171644 | NPI | - | NPPES |
| 110062132A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 155953 (Massachusetts) | Primary |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa B Noble, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Dr Lisa B Noble, MD 563 Main St, Bolton, MA 01740-1300 Ph: (978) 586-3939 |
Mark T. Collins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 563 Main St, Bolton, MA 01740 Phone: 978-586-3939 Fax: 978-586-3955 | |
Linda Farnsworth Brown, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 563 Main St, Bolton, MA 01740 Phone: 978-586-3939 Fax: 978-586-3955 | |
Suhas Sreeharshan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 563 Main St, Bolton, MA 01740 Phone: 978-586-3939 Fax: 978-586-3944 | |
Dr. Marianela Lavena, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 563 Main St, Bolton, MA 01740 Phone: 978-586-3939 Fax: 978-586-3855 |