Organization
EDITH NOURSE ROGERS MEMORIAL VAMC
Active
Other names
LYNN CBOC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN MARY DES LOGES MSN RN ANP (NURSE PRACTITIONER)
17816874923
Entity
Organization
Contact information
Practice address
225 BOSTON ST, LYNN, MA 01904-2405
(178) 123-3463
Mailing address
7 BACON DR, SAUGUS, MA 01906-2405
(178) 123-3463
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
138951
MA
Other
Enumeration date
05/15/2006
Last updated
08/22/2020
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