Individual
MRS. SOPHONIA LUCIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 427-1000
(617) 858-2668
Mailing address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 427-1000
(617) 858-2668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2262125
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2262125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110139469A
—
MA
Enumeration date
10/10/2012
Last updated
03/07/2023
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