Individual
NATASA LISICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 371-3186
Mailing address
PO BOX 990918, BOSTON, MA 02199-0918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2324461
MA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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