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Individual
LENA LAX
Active
Individual
LENA LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2298221
MA
363LF0000X
Family Nurse Practitioner
2298221
MA
363LF0000X
Family Nurse Practitioner
95011726
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298221
MA
Other
Enumeration date
09/26/2016
Last updated
10/05/2026
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