Individual
LISA M LANGHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301
(774) 826-2079
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271590
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
271590
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN271590
MA
Other
Enumeration date
03/14/2007
Last updated
07/12/2018
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