Individual
MICHELLE-LACY ST. CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 GROSVENOR AVE, NORTH ANDOVER, MA 01845-1618
(978) 912-0580
Mailing address
15 GROSVENOR AVE, NORTH ANDOVER, MA 01845-1618
(978) 912-0580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
018461-22
NH
164W00000X
Licensed Practical Nurse
Primary
LN94846
MA
172V00000X
Community Health Worker
—
MA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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