Individual
LUCIANN POULOPOULOS MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 BEECH ST, ROSLINDALE, MA 02131-3311
(617) 635-8082
Mailing address
19 EDGEBROOK RD, WEST ROXBURY, MA 02132-1124
(617) 327-3232
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN233921
MA
363LF0000X
Family Nurse Practitioner
Primary
RN233921
MA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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