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Individual

GEORGIA LITSAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
450 BROOKLINE AVE, YAWKEY 12, BOSTON, MA 02215-5418
(617) 632-6470
(617) 632-1930
Mailing address
450 BROOKLINE AVE, YAWKEY 12, BOSTON, MA 02215-5418
(617) 632-6470
(617) 632-1930

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
231581
MA

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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