Individual
LORI DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 SUMMER ST, HAVERHILL, MA 01830-5814
(978) 373-8222
(978) 373-8223
Mailing address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2284228
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2284228
MA
Other
Enumeration date
08/09/2019
Last updated
06/02/2020
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