Individual
MADISON LUCILLE LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 NEPONSET AVE, BOSTON, MA 02122-3134
(617) 282-3200
Mailing address
398 NEPONSET AVE, BOSTON, MA 02122-3134
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
2391719
MA
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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