Individual
SONIA LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 282-3200
(617) 265-9719
Mailing address
398 NEPONSET AVENUE, DORCHESTER, MA 02122
(617) 282-3200
(617) 265-9719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
159915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303775
—
MA
Enumeration date
09/12/2005
Last updated
06/10/2013
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