Individual
LISA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 999-3126
Mailing address
34 GIFFORD ST, NEW BEDFORD, MA 02744-2610
(508) 999-3126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89508
MA
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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