Lisa D Llanas Hagberg (NPI# 1831139377, PAC ID# 3476467002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1831139377 |
| PAC ID by PECOS | 3476467002 |
| Professional Enrollment ID | I20031118000059 |
| Full Name | Lisa D Llanas Hagberg |
| Organization Legal Name | THE MCLEAN HOSPITAL CORPORATION |
| Address |
216 Lake Rd Ashburnham MA 01430-1207 |
| Phone Number | 9788275115 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9436040961 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| 410001 | MEMORIAL HOSPITAL OF RHODE ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 216 Lake Rd, Ashburnham, MA 01430-1207 | 9788275115 | THE MCLEAN HOSPITAL CORPORATION |
| 455 Toll Gate Rd, Warwick, RI 02886-2759 | 4017377010 | AFFINITY PHYSICIANS LLC. |
| Organization Legal Name | THE MCLEAN HOSPITAL CORPORATION |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert G Mealer | Psychiatry | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Jeanne M Dolan | Psychiatry | The Mclean Hospital Corporation | 216 Lake Rd, Ashburnham, MA 01430-1207 |
| Janet Richmond | Clinical Social Worker | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Emily J Deringer | Psychiatry | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Aaron L Frenz | Psychiatry | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Nancy A Huxley | Psychologist, Clinical | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Kirsten W Bolton | Clinical Social Worker | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Joseph B Stoklosa | Psychiatry | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Gordana D Vitaliano | Psychiatry | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Meghan E Doherty | Clinical Social Worker | The Mclean Hospital Corporation | 115 Mill St, Belmont, MA 02478-1064 |
| Street Address |
216 LAKE RD |
| City | ASHBURNHAM |
| State | MA |
| Zip | 01430-1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne M Dolan | Psychiatry | The Mclean Hospital Corporation | 216 Lake Rd, Ashburnham, MA 01430-1207 |
| Joan P Gerring | Psychiatry | The Mclean Hospital Corporation | 216 Lake Rd, Ashburnham, MA 01430-1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenna Normandin | Chiropractic | 25 Cobb Rd, Ashburnham, MA 01430-1210 | |
| Kathryn Ruberti | Clinical Social Worker | 56 Main St, Ashburnham, MA 01430-1242 |
| City | ASHBURNHAM |
| Zip Code | 01430 |
| Specialty | PSYCHIATRY |
| City + Specialty | ASHBURNHAM + PSYCHIATRY |
Please comment or provide details below to improve the information on Lisa D Llanas Hagberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.