Individual
MELISSA ANN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-3839
Mailing address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-3839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
055080-23
NH
363LF0000X
Family Nurse Practitioner
Primary
260259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110096134A
—
MA
Enumeration date
11/21/2010
Last updated
08/16/2013
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