Provider Demographics
NPI:1811996614
Name:HOWE, LISBETH MB (MD)
Entity type:Individual
Prefix:
First Name:LISBETH
Middle Name:MB
Last Name:HOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9120
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02027-9120
Mailing Address - Country:US
Mailing Address - Phone:781-329-1400
Mailing Address - Fax:781-278-5667
Practice Address - Street 1:1 LYONS ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-5599
Practice Address - Country:US
Practice Address - Phone:781-329-1400
Practice Address - Fax:781-278-5667
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55394208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
200546OtherHARVARD/PILGRIM
J05379OtherBS BLUE CARE ELECT
200546OtherHARVARD PILGRIM POS
760089OtherTUFTS BENEFIT ADMIN
J05379OtherBS INDEMNITY
12-40281OtherUNITED HEALTHCARE PPO
2200402OtherCIGNA HEALTH CARE
J05379OtherHMO BLUE/BLUE CHOICE
E01895OtherFIRST SENIORITY
0016060OtherNEIGHBORHOOD HEALTH PLAN
200546OtherHARVARD PILGRIM PPO
27537OtherCHILDRENS MEDICAL SECURIT
760089OtherTUFTS
760089OtherTUFTS COMMONWEALTH PPO
760089OtherTUFTS TOTAL HEALTH PLAN
2200402OtherHEALTHSOURCE
3003795OtherMASS HEALTH
760089OtherTUFTS
760089OtherTUFTS BENEFIT ADMIN