Individual
MRS. LISA RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6350
Mailing address
38 1ST ST, MELROSE, MA 02176-4011
(781) 492-4867
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2286845
MA
Other
Enumeration date
08/17/2018
Last updated
02/03/2019
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