Individual
LISA NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ELM AVE, HYANNIS, MA 02601-5547
(508) 778-0300
(508) 778-0301
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2300
(617) 533-2341
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH11558
MA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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