Individual
MS. MAUREEN S LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Mailing address
462 CENTRAL ST, BOYLSTON, MA 01505-1524
(774) 614-1019
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
265362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 265362
LICENSE
MA
Enumeration date
09/02/2006
Last updated
04/22/2008
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