Individual
MRS. LYNNE K REVENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNS
Contact information
Practice address
1 W FOSTER ST, MELROSE, MA 02176-3810
(617) 957-7944
(781) 665-7543
Mailing address
8 MEADOWVIEW RD, MELROSE, MA 02176-2913
(617) 957-7944
(781) 665-7543
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
101852
MA
Other
Enumeration date
12/05/2006
Last updated
08/10/2007
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