Individual
MS. LUCIA C BASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 355-6000
Mailing address
300 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN268169
MA
Other
Enumeration date
10/29/2013
Last updated
12/02/2015
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