Individual
MS. DIANNE M EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
270 BRIDGE ST STE 301, DEDHAM, MA 02026-1883
(617) 564-8799
Mailing address
206 MILFORD ST, UPTON, MA 01568-1309
(617) 564-8799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85723
MA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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