Individual
LISE ANN GLADING-DILORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3640 MAIN ST, SUITE 207, SPRINGFIELD, MA 01107-1145
(413) 739-0669
(413) 739-0621
Mailing address
3640 MAIN ST, SUITE 207, SPRINGFIELD, MA 01107-1145
(413) 739-0669
(413) 739-0621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81061
MA
Other
Enumeration date
06/02/2006
Last updated
07/13/2012
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