Individual
MARIA LYCOURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
559 HEATH ST APT 2, CHESTNUT HILL, MA 02467-2242
(617) 935-9006
Mailing address
559 HEATH ST APT 2, CHESTNUT HILL, MA 02467-2242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2280555
MA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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