Individual
LISA CENTOLA FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 223-9594
(978) 705-6375
Mailing address
17 BURLEY ST APT 1, WENHAM, MA 01984-1904
(857) 615-3573
(978) 705-6375
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN59241
MA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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