Individual
MR. DIMITRI LAMISERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 955-0810
Mailing address
1760 REVERE BEACH PKWY, EVERETT, MA 02149-5920
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2337402
MA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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