DR. LISA LACARRUBBA M.D. NPI 1962589432

NPI Information

  • NPI: 1962589432
  • Provider Name: DR. LISA LACARRUBBA, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1501 S CLINTON ST
    BALTIMORE, MD
    ZIP 21224
  • Phone: (866) 233-6925

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NPI Details

DR. Lisa Lacarrubba, M.D. is a family medicine in Baltimore, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Lisa Lacarrubba, M.D. NPI is 1962589432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 S CLINTON ST
BALTIMORE, MD
ZIP 21224-730
Phone: (866) 233-6925
Fax: (410) 866-8606

The NPI 1962589432 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0420010047VERMONTNo
2207Q00000XFamily Medicine25MA06802900NEW JERSEYNo
3207Q00000XFamily MedicineD0095650MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1349703OTHERVERMONTMVP
200049423OTHERVERMONTBLUE SHIELD
38000700OTHERVERMONTLADIES FIRST
4080158933OTHERVERMONTRAILROAD MEDICARE
50VN2307MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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