Individual
DR. LORKY NERCESSIAN LIBARIDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
454 BROADWAY, REVERE, MA 02151-3034
(781) 485-8222
Mailing address
454 BROADWAY, REVERE, MA 02151-3034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
257015
MA
208000000X
Pediatrics Physician
257015
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2006
Last updated
07/11/2014
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