Individual
THERESA MARIE LESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
227 BABCOCK ST, BROOKLINE, MA 02446-6773
(617) 731-3200
Mailing address
1027 TREMONT ST, BOSTON, MA 02120-2238
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2270525
MA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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