Individual
ERICA DASSUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Mailing address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(781) 861-0890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96917
MA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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