Individual
LILLIAN M CHENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PNP
Contact information
Practice address
26 QUEEN ST, MEDICAL, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7990
Mailing address
26 QUEEN ST, MEDICAL, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
91118
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003958
NHP
MA
01
—
09886
NHP-GROUP
MA
01
—
1300709
CMSP
MA
05
—
1300709
—
MA
01
—
NP1831
BCBS
MA
01
—
Y10141
BCBS-GROUP
MA
Enumeration date
08/10/2006
Last updated
07/08/2007
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