Individual
LISA LUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
725 CONCORD AVE, SUITE 5100, CAMBRIDGE, MA 02138-1040
(617) 499-6767
(617) 499-6768
Mailing address
725 CONCORD AVE, SUITE 5100, CAMBRIDGE, MA 02138-1040
(617) 499-6767
(617) 499-6768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207851
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082785A
—
MA
Enumeration date
07/25/2006
Last updated
11/17/2010
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