Individual
LEANNE MAZEIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 SUMMER ST STE 690, WORCESTER, MA 01608-1216
(508) 363-9530
(508) 363-9535
Mailing address
19 OLD HAMILTON EXT, STURBRIDGE, MA 01566
(508) 363-9530
(508) 363-9535
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
191914
MA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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