Individual
LISA IGNUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 STATE ST, BOSTON, MA 02109-1827
(888) 555-3627
Mailing address
158 N BAYBERRY PKWY, MIDDLETOWN, DE 19709-9855
(302) 250-3897
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
L1-0037587
DE
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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