Individual
TRACEY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BROOKLINE AVENUE, BOSTON, MA 02215-5648
(617) 421-5804
Mailing address
133 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 421-5804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2287817
MA
Other
Enumeration date
08/29/2020
Last updated
01/31/2021
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