Individual
MS. LILLIAN T PEARSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3177
Mailing address
406 HART RD, CONWAY, MA 01341-9707
(413) 584-4040
(413) 582-3177
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
146664
MA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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