Individual
MRS. LISA MARIE STAITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
266 MAIN ST, GARDNER, MA 01440
(978) 630-5030
(978) 630-5033
Mailing address
100 HOSPITAL RD, STE 4, LEOMINSTER, MA 01453-2253
(978) 514-6300
(978) 514-6321
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RS255919
MA
Other
Enumeration date
04/14/2010
Last updated
11/09/2011
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