Lisa Prock in Boston - Developmental - Behavioral Pediatrics
Lisa Prock - NPI 1609988823
Lisa Prock is a Developmental - Behavioral Pediatrics in Boston, Massachusetts. Lisa Prock practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Lisa Prock is 1609988823. The last update date is 2016-03-16.
Lisa Prock's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6177550561. The mailing address for Lisa Prock is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Prock |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6177550561 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, MPH |
NPI Number Detail
| NPI Number | 1609988823 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2016-03-16 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155724 |
| Phone Number | 6177550561 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 81196 |
|
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3145550 | MA | -- |
Post Comment/ Review Below
What is the Lisa Prock's unique identification number?
The Lisa Prock has been assigned the NPI (National Provider Identifier) Number 1609988823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Lisa Prock's physical address?
The Lisa Prock is physically located at 300 Longwood Ave, in the city of Boston, MA, with the postal code 21155724.
What is Lisa Prock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Prock is Developmental - Behavioral Pediatrics, and the taxonomy code that classifies this field of practice is 2080P0006X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609988823 to Lisa Prock?
The Centers for Medicare & Medicaid Services assigned the 1609988823 to Lisa Prock on 2006-09-01.
As of what date was the information regarding Lisa Prock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Prock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-16.
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