Individual
AMBERLEE M LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 FRUIT STREET, WACC 435, BOSTON, MA 02114
(617) 726-2000
(617) 643-4913
Mailing address
55 FRUIT STREET, WACC 435, BOSTON, MA 02114
(617) 726-2000
(617) 643-4913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
063772-23
NH
363LF0000X
Family Nurse Practitioner
Primary
RN280091
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30348591
—
NH
01
—
RE4060
MEDICARE GROUP
NH
Enumeration date
12/22/2010
Last updated
09/04/2014
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