Individual
LAURIE SICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 HARRISON AVE, DOB9, BOSTON, MA 02118-2371
(617) 414-1990
(617) 414-1910
Mailing address
720 HARRISON AVE, DOB9, BOSTON, MA 02118-2371
(617) 414-1990
(617) 414-1910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147567
MA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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