Individual
LISA J KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2003
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2003
(617) 730-0495
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
198703
MA
Other
Enumeration date
07/02/2006
Last updated
08/14/2007
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