Individual
LORI ANDRUSS-VEZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 ELIZABETH ST, FEEDING HILLS, MA 01030-1677
(413) 627-3232
Mailing address
141 ELIZABETH ST, FEEDING HILLS, MA 01030-1677
(413) 627-3232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN69723
MA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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