Individual
MRS. STEPHANIE ATHANASOULAS MOURTZINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LCHC, 17 WARREN STREET, 2ND FLOOR, LOWELL, MA 01852
(978) 322-8500
Mailing address
LCHC, 585 - 597 MERRIMACK STREET, LOWELL, MA 01854
(978) 322-8500
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
230081
MA
363LF0000X
Family Nurse Practitioner
230081
MA
Other
Enumeration date
01/19/2007
Last updated
12/01/2011
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