Individual
FANI LAZAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-1200
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN280785
MA
363LF0000X
Family Nurse Practitioner
RN280785
MA
Other
Enumeration date
03/25/2019
Last updated
09/30/2024
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