Individual
LENA LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
822 SOMERVILLE AVE, CAMBRIDGE, MA 02140
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2298221
MA
363LF0000X
Family Nurse Practitioner
2298221
MA
363LF0000X
Family Nurse Practitioner
95011726
CA
Other
Enumeration date
09/26/2016
Last updated
03/17/2025
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