LISA PRUSSICK MD – NPI #1609434950
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

LISA PRUSSICK is a dermatologist located in BOSTON, MA. NPPES has assigned the NPI number 1609434950 to LISA PRUSSICK on June 02, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 3 years ago on May 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA PRUSSICK below.

NPI Profile for
LISA PRUSSICK

NPI Number
1609434950
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA PRUSSICK
Credentials
MD
Primary location
800 WASHINGTON STREET
BIEWEND 14TH FLOOR
BOSTON, MA 02116
Phone: (617) 636-1576 Fax:
1 Other location(s):
2100 Dorchester Ave
Boston, MA 02124-5615
Phone: (617) 506-2726
Mailing address
800 WASHINGTON ST
BOSTON, MA 02111-1552
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 17, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
MA 280404

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.