Individual
MS. LISA M. MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
830 HARRISON AVE, MOAKLEY, 3RD FLOOR, BOSTON, MA 02118
(617) 638-6428
(617) 638-5756
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2258605
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2258605
MA
Other
Enumeration date
09/28/2010
Last updated
10/03/2017
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