Individual
LAUREN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 BEARSE AVE, DORCHESTER, MA 02124-5823
(949) 230-9051
Mailing address
4 STONE LN APT 5207, MALDEN, MA 02148-1574
(949) 230-9051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2297684
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2297684
MA
Other
Enumeration date
06/03/2018
Last updated
10/06/2021
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