Individual provider · Type 1 NPI
Lisa M. Tautiva, R.D.M.S.
Other Specialist/Technologist · Hyannis, MA
NPI number
1598897423
Active
Practice location
60 Park St
Hyannis, MA 02601-5224
Mailing address
414 Plain St
Marshfield, MA 02050-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 37159 (MA) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
About NPI 1598897423
Lisa M. Tautiva, R.D.M.S.'s National Provider Identifier is 1598897423, issued on Mar 9, 2007. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Hyannis, MA. The record was last updated on Jul 9, 2007.