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Individual

TATIANA A LUCIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2304851
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110187064A
MA
Enumeration date
04/06/2022
Last updated
11/28/2023
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