Individual
LISA PAULA VIVEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(617) 835-7379
Mailing address
40 LOUISE RD, BRAINTREE, MA 02184-5902
(781) 817-6122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
251293
MA
Other
Enumeration date
02/22/2007
Last updated
06/17/2015
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