Provider Demographics
NPI:1164765129
Name:PRAHL, ANNALISA (DVM)
Entity Type:Individual
Prefix:DR
First Name:ANNALISA
Middle Name:
Last Name:PRAHL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 CHICKERING RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-4535
Mailing Address - Country:US
Mailing Address - Phone:978-725-5544
Mailing Address - Fax:978-975-0133
Practice Address - Street 1:247 CHICKERING RD
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-4535
Practice Address - Country:US
Practice Address - Phone:978-725-5544
Practice Address - Fax:978-975-0133
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6908174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian