LISA MCCORDIC RNCS NPI 1962681460

NPI Information

  • NPI: 1962681460
  • Provider Name: LISA MCCORDIC, RNCS
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 151 MYSTIC AVE
    SUITE SIX
    MEDFORD, MA
    ZIP 02155
  • Phone: (781) 396-1199

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NPI Details

Lisa Mccordic, RNCS is a psychiatric/mental health registered nurse in Medford, MA. Lisa Mccordic, RNCS NPI is 1962681460. 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:

151 MYSTIC AVE
SUITE SIX
MEDFORD, MA
ZIP 02155-632
Phone: (781) 396-1199
Fax: (781) 396-1439

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.

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
1163WP0808XRegistered NursePsychiatric/Mental Health178205MASSACHUSETTSYes

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
1PN0723OTHERMASSACHUSETTSBLUE CROSS
2NS0447MEDICARE PINMASSACHUSETTS

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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