Individual
MARYLOU GREGORY-LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2769
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
98542
MA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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