Individual
MS. LISA THERESE QUARAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 LAWRENCE ST, MEDFORD, MA 02155-4136
(781) 864-5268
Mailing address
100 LAWRENCE ST, MEDFORD, MA 02155-4136
(781) 864-5268
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06230264
MA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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