Individual
LISA NGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BRIGHTON HIGH SCHOOL, 25 WARREN STREET, BRIGHTON, MA 02135
(617) 534-9958
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2312225
MA
Other
Enumeration date
08/01/2018
Last updated
10/11/2023
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