Individual
STEPHEN POTVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
63 NORTH ST, ANDOVER, MA 01810-1105
(978) 806-6668
(978) 307-5499
Mailing address
63 NORTH ST, ANDOVER, MA 01810-1105
(978) 806-6668
(978) 307-5499
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN57633
MA
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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