Individual
ELIZABETH GILLEN GOODCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 FORBES RD, LEXINGTON, MA 02421-7305
(781) 674-1590
Mailing address
1 FORBES ROAD, LEXINGTON, MA 02421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN273403
MA
Other
Enumeration date
08/30/2010
Last updated
02/12/2016
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