Provider Demographics
NPI:1164525028
Name:GAIMARI, LISA CATHERINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:CATHERINE
Last Name:GAIMARI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:123 SUMMER ST STE 590N
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1216
Mailing Address - Country:US
Mailing Address - Phone:508-368-3179
Mailing Address - Fax:508-368-3164
Practice Address - Street 1:123 SUMMER ST STE 590N
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-368-3179
Practice Address - Fax:508-368-3164
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN182191363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health