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Individual

LUCIA ENICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(617) 470-1653
Mailing address
9 BIRCH ST, BELMONT, MA 02478-2335
(617) 489-8845

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
203362
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
203362
MA

Other

Enumeration date
06/16/2010
Last updated
06/16/2010
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