Individual
LILA ELENA PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 ELM ST STE 204, SOMERVILLE, MA 02144-2947
(617) 623-6111
(617) 616-5084
Mailing address
PO BOX 440436, SOMERVILLE, MA 02144-0006
(617) 623-6111
(617) 616-5084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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