Individual
JENNIFER MARIE LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11 CIRCLE AVE, LYNN, MA 01905-3050
(781) 595-2413
(781) 595-0773
Mailing address
9 MORTON ST, MALDEN, MA 02148-3227
(857) 249-2284
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2306463
MA
Other
Enumeration date
05/23/2021
Last updated
05/26/2021
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