Individual
LYNN A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LIBERTY STREET, BROCKTON, MA 02301
(508) 894-0400
(508) 894-0895
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-0838
(508) 941-0893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
184553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102041
—
MA
Enumeration date
12/07/2005
Last updated
06/29/2015
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