Individual
TRINH NIKKI LY-LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 WASHINGTON ST, EAST WALPOLE, MA 02032-1154
(857) 205-2976
Mailing address
325 WASHINGTON ST, EAST WALPOLE, MA 02032-1154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2266772
MA
363LP2300X
Primary Care Nurse Practitioner
RN2266772
MA
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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