Lisa Provost, MA | |
100 Ledgewood Pl, Rockland, MA 02370-1075 | |
(781) 871-6550 | |
(781) 871-5973 |
Full Name | Lisa Provost |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 100 Ledgewood Pl, Rockland, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225108525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Fcp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992819411 PECOS PAC ID: 4880671452 Enrollment ID: O20040701000641 |
Mailing Address | Practice Location Address |
---|---|
Lisa Provost, MA 2 Papas Holw, Plymouth, MA 02360-2678 Ph: (508) 280-0563 | Lisa Provost, MA 100 Ledgewood Pl, Rockland, MA 02370-1075 Ph: (781) 871-6550 |
Dr. Robert Earl Outman-conant, D MIN Counselor Medicare: Not Enrolled in Medicare Practice Location: 482 Beech St, Rockland, MA 02370 Phone: 781-871-1659 | |
Christine Elizaberh Beary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Dexter Rd, Rockland, MA 02370 Phone: 617-678-5206 | |
Kathleen A Coughlin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgewood Pl, Rockland, MA 02370 Phone: 781-871-6550 Fax: 781-871-5973 | |
Robert C Masterson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgewood Pl, Suite 202, Rockland, MA 02370 Phone: 781-871-6550 Fax: 781-871-5973 | |
Laura Margaret Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Ledgewood Pl, Suite 202, Rockland, MA 02370 Phone: 781-871-6550 | |
Miss Taryn Rose Lordi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Blossom St, Rockland, MA 02370 Phone: 617-966-3361 |