Individual
PANOSKY JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 591-4529
Mailing address
9 MAGNER RD, LYNN, MA 01905-3126
(857) 251-1220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN87796
MA
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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