Individual
MELROSE MAE LAHOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
819 WORCESTER ST, SUITE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
Mailing address
391 PLEASANT ST, LEICESTER, MA 01524-1221
(508) 892-1969
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
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