Individual
LISA M BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232292
MA
Other
Enumeration date
12/16/2008
Last updated
05/06/2019
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