Individual
KATHLEEN GILL O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
181377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094260A
—
MA
Enumeration date
03/31/2008
Last updated
12/18/2012
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