Individual
LISA MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 OLD BRICKYARD RD, MASHPEE, MA 02649-3118
(774) 563-0290
Mailing address
115 OLD BRICKYARD RD, MASHPEE, MA 02649-3118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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