Individual
LISA CAREY MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
94 MENDON ST, HOPEDALE, MA 01747
(508) 482-5401
(508) 482-5402
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN285026
MA
Other
Enumeration date
08/23/2010
Last updated
05/15/2018
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