Individual
MARY CLAIRE LORTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNP, RN
Contact information
Practice address
10 VERNON ST UNIT 302, BROOKLINE, MA 02446-4930
(508) 612-5591
Mailing address
10 VERNON ST UNIT 302, BROOKLINE, MA 02446-4930
(508) 612-5591
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
129158
MA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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