Individual
MARY LUCINDA WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 MILLBURY ST, AUBURN, MA 01501
(508) 832-9691
(508) 832-7670
Mailing address
105 MILLBURY ST, AUBURN, MA 01501
(508) 832-9691
(508) 832-7670
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101772
MA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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