Individual
LIZA KIMBALL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
761 WORCESTER RD, FRAMINGHAM, MA 01701-5224
(508) 872-1614
(508) 620-6572
Mailing address
761 WORCESTER RD, FRAMINGHAM, MA 01701-5224
(508) 872-1614
(508) 620-6572
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN253707
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025212A
—
MA
01
—
1659470342
BLUE CROSS BLUE SHIELD OF MA
MA
Enumeration date
09/21/2006
Last updated
05/26/2017
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