Individual
LIESEL LA FARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 SHERBURNE CMNS, NANTUCKET, MA 02554-4451
(774) 333-3933
Mailing address
PO BOX 1719, SANDWICH, MA 02563-1719
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2338728
MA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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