Lisa R Natkin, MD | |
31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356-1032 | |
(508) 894-8760 | |
(508) 894-8762 |
Full Name | Lisa R Natkin |
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Gender | Female |
Speciality | Pediatrics |
Location | 31 Roche Brothers Way, North Easton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851372726 | NPI | - | NPPES |
2011051 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 217986 (Massachusetts) | Primary |
Entity Name | Pratt Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
Mailing Address | Practice Location Address |
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Lisa R Natkin, MD 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356-1032 Ph: (508) 894-8760 | Lisa R Natkin, MD 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356-1032 Ph: (508) 894-8760 |
Dr. Divya Koster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way Ste 210, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412 | |
Leena Mayuresh Rajwadkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412 | |
Dr. Kathleen Marie Petillo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762 | |
Jordan H Leff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-8762 | |
Dr. Suvekchha Devkota, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 Roche Bros Way, North Easton, MA 02356 Phone: 508-894-8760 Fax: 508-894-0412 |