Individual
LISA M JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 ISLAND RD, LUNENBURG, MA 01462-1113
(339) 463-0312
Mailing address
158 ISLAND RD, LUNENBURG, MA 01462-1113
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S70993423
MA
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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