LISA B. BOB M.D. – NPI #1598721656
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

LISA BOB is a physician located in PAWTUCKET, RI. NPPES has assigned the NPI number 1598721656 to LISA BOB on April 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name LISA B BOULT. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 13 years ago on Apr 16, 2013. 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 BOB below.

NPI Profile for
LISA B. BOB

NPI Number
1598721656
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA B. BOB
Former Name: LISA B BOULT
Credentials
M.D.
Primary location
407 EAST AVE
SUITE 110
PAWTUCKET, RI 02860-5290
Phone: (401) 728-8245 Fax: (401) 728-6453
Mailing address
17 VIRGINIA AVE
SUITE 107
PROVIDENCE, RI 02905-4406
Phone: (401) 784-4923 Fax: (401) 784-4902
Sole Proprietor
No
Updated
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
RI MD06067

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.