Individual
SUSANA LOO LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
Mailing address
26 QUEEN STREET, WORCESTER, MA 01610
(508) 860-7700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F344655-01
NY
363LF0000X
Family Nurse Practitioner
Primary
RN2335411
MA
Other
Enumeration date
07/10/2019
Last updated
10/18/2019
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