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Individual

THERESE M LIZZOTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-4280
Mailing address
11 MASON ST, EVERETT, MA 02149-3109

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306553
MA
363L00000X
Nurse Practitioner
Primary
RN2306553
MA

Other

Enumeration date
01/29/2018
Last updated
02/05/2019
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