| Lisa Coppola | |
|
406 Massachusetts Ave Arlington MA 02474-6700 | |
| (603) 571-0994 | |
| Not Available |
| Full Name | Lisa Coppola |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 406 Massachusetts Ave, Arlington, Massachusetts |
| Authorized Official Name and Position | Lisa A Coppola (COUNSELOR) |
| Authorized Official Contact | 6035710994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Coppola 406 Massachusetts Ave Arlington MA 02474-6700 Ph: (603) 571-0994 | Lisa Coppola 406 Massachusetts Ave Arlington MA 02474-6700 Ph: (603) 571-0994 |
| NPI Number | 1487193611 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487193611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10015 (Massachusetts) | Primary |
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