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Individual

MS. TRICIA LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(844) 744-4200
Mailing address
3 CARRIAGE COURT, MERRIMAC, MA 01860-1618

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN270005
MA
363LF0000X
Family Nurse Practitioner
Primary
270005
MA
363LF0000X
Family Nurse Practitioner
ML4251500
NH

Other

Enumeration date
05/20/2014
Last updated
09/13/2024
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