Individual
MELROSE MAE LAHOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
184642
MA
363LG0600X
Gerontology Nurse Practitioner
184642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703605
—
MA
01
—
NP4966
BLUECROSS BLUESHIELD
MA
Enumeration date
09/27/2007
Last updated
02/25/2013
Update your record
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