Individual
LISA A LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1 COMPASS WAY, SUITE 102, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2100
(508) 350-2314
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37126
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7008637
—
RI
Enumeration date
11/14/2005
Last updated
04/05/2011
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