Individual
LISA M. INGRAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDM
Contact information
Practice address
56 DIMOCK ST, ROXBURY, MA 02119-1210
(857) 276-8946
Mailing address
52 CURTIS ST APT 4, QUINCY, MA 02169-1839
(914) 707-2247
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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