Individual
LISA KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HEATH ST, EVERETT, MA 02149-1807
(617) 387-5256
Mailing address
4 HEATH ST, EVERETT, MA 02149-1807
(617) 387-5256
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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