Individual
ALISSA FODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 FRIEND ST, LYNN, MA 01902-3068
(781) 715-6608
(617) 529-6711
Mailing address
37 FRIEND ST, LYNN, MA 01902-3068
(718) 715-6608
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
RN2281445
MA
Other
Enumeration date
01/01/2018
Last updated
09/11/2025
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