Individual
LIZA CAPODILUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 927-7880
Mailing address
LAHEY CLINIC INC., PROVIDER ENROLLMENT DEPARTMENT, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209012418
IL
367A00000X
Advanced Practice Midwife
Primary
RN2311383
MA
Other
Enumeration date
02/25/2015
Last updated
03/17/2018
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