Individual
MS. LISA ANN PETROSEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 WEST ST UNIT 1304, WALPOLE, MA 02081-1857
(781) 619-6074
Mailing address
95 WEST ST UNIT 1304, WALPOLE, MA 02081-1857
(781) 619-6074
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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