Individual
LYNETTE L STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
214 COMMERCIAL ST, MALDEN, MA 02148-6716
(781) 321-0645
Mailing address
26 COLUMBIA ST, SWAMPSCOTT, MA 01907-1708
(339) 440-4194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2259978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100051866711
—
MA
Enumeration date
10/08/2010
Last updated
10/08/2010
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