Individual
LARA WOSEPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 FEDERAL ST, DANVERS, MA 01923-3668
(978) 777-8553
Mailing address
7 FEDERAL ST, DANVERS, MA 01923-3668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260931
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649265844
—
MA
Enumeration date
10/02/2019
Last updated
11/27/2023
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