Individual
LISA KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, WHNP-BC
Contact information
Practice address
124 PROFESSORS ROW, MEDFORD, MA 02155-5816
(617) 627-3350
(617) 627-3592
Mailing address
124 PROFESSORS ROW, MEDFORD, MA 02155-5816
(617) 627-3350
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2299338
MA
363LW0102X
Women's Health Nurse Practitioner
RN2299338
MA
Other
Enumeration date
12/21/2016
Last updated
07/07/2022
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