Lisa B Bob is a Geriatric Medicine in Providence, Rhode Island. Lisa B Bob practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Lisa B Bob is 1598721656. The last update date is 2013-04-16.
Lisa B Bob's current location address is 17 Virginia Ave, Providence, Rhode Island. You can contact this provider via phone number 4017844923 and fax number 4017844902. The mailing address for Lisa B Bob is 17 Virginia Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa B Bob |
|---|---|
| Address | 17 Virginia Ave, Providence, Rhode Island |
| Phone Number | 4017844923 |
| Fax Number | 4017844902 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598721656 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2013-04-16 |
Provider Mailing Address Detail
| Address | 17 Virginia Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29054406 |
| Phone Number | 4017844923 |
| Fax Number | 4017844902 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | MD06067 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique identifier code issued to Lisa B Bob by the Centers for Medicare & Medicaid Services?
The Lisa B Bob has been assigned the NPI (National Provider Identifier) 1598721656. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa B Bob?
The Lisa B Bob is physically situated at 17 Virginia Ave, in the city of Providence, state of RI, with the postal code 29054406.
What is Lisa B Bob's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa B Bob's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598721656 to Lisa B Bob?
The Centers for Medicare & Medicaid Services originally issued the 1598721656 to Lisa B Bob on 2006-04-26.
As of what date were the details related to Lisa B Bob most recently updated or revised?
The information pertaining to Lisa B Bob, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-16.
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