Individual
LYDIA ASSO MOKOENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
499 MECHANIC ST, LEOMINSTER, MA 01453-4431
(774) 329-6133
Mailing address
499 MECHANIC ST, LEOMINSTER, MA 01453-4431
(774) 329-6133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN97533
MA
Other
Enumeration date
02/15/2023
Last updated
05/21/2025
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