Dr LISA JEAN MAMAKOS is a female medical professional, specializing in Family Medicine. She graduated in 2010.
MEETING HOUSE LANE MEDICAL PRACTICE PC
147 BEACH RD
SUITE A
WESTHAMPTON BEACH
NY
119781733
Tel: 6312887746
| Npi | 1619265584 |
| Pac Id | 2567761182 |
| Professional Enrollment Id | I20180726000803 |
| Last Name | MAMAKOS |
| First Name | LISA |
| Middle Name | JEAN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Group Practice Pac Id | 6800972589 |
| Number Of Group Practice Members | 88 |
| Line 1 Street Address | 147 BEACH RD |
| Line 2 Street Address | SUITE A |
| Marker Of Address Line 2 Suppression | |
| City | WESTHAMPTON BEACH |
| State | NY |
| Zip Code | 119781733 |
| Phone Number | 6312887746 |
| Hospital Affiliation Ccn 1 | 330393 |
| Hospital Affiliation Lbn 1 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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