Individual
AMANDA J POISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Mailing address
20 NICHOLS AVE, LYNN, MA 01902-3718
(781) 244-9481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN63056
MA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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