Individual
LANA K DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS, APRN
Contact information
Practice address
125 LIBERTY ST, STE 2, DANVERS, MA 01923-3325
(978) 337-2437
Mailing address
120 WHEELER ST, GLOUCESTER, MA 01930-1648
(978) 337-2437
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
121048
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891561
—
MA
Enumeration date
07/07/2006
Last updated
11/29/2017
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