Basic Information
| Provider Information | |||||||||
| NPI: | 1356562573 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIONI | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ROMAGNOLI | ||||||||
| OtherFirstName: | LISA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 141 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 51 PERFORMANCE DR | ||||||||
| Address2: | |||||||||
| City: | WEYMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021893141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7816828000 | ||||||||
| FaxNumber: | 7813351412 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 01/21/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 241810 | MA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 042297845 | 01 | TRICARE | OTHER | AA148267 | 01 | HARVARD PILGRIM | OTHER | 042297845 | 01 | GIC/UNICARE | OTHER | 110082956A | 05 | MA | MEDICAID | 9872385 | 01 | AETNA | OTHER | 001251001 | 01 | MA | MEDICARE | OTHER | 042297845 | 01 | GREAT WEST HEALTH CARE | OTHER | 1356562573 | 01 | FALLON | OTHER | 753430 | 01 | TUFTS AND TUFTS MEDICARE PREFERRED | OTHER | SS0064 | 01 | MA | BCBSMA | OTHER | 042297845 | 01 | UNITED HEALTH CARE | OTHER | 1356562573 | 01 | NEIGHBORHOOD HEALTH PLAN | OTHER | 042297845 | 01 | PHCS/MULTI-PLAN | OTHER | 042297845 | 01 | HCVM/COVENTRY/FIRST HEALTH | OTHER | 7709205 | 01 | CIGNA | OTHER |