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Individual

LISA GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
770 WELCH RD, SUITE 100, PALO ALTO, CA 94304-1511
(650) 498-5480
Mailing address
770 WELCH RD, SUITE 100, PALO ALTO, CA 94304-1511
(650) 498-5480

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2274885
MA

Other

Enumeration date
09/06/2012
Last updated
11/19/2013
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