Individual
DIANA M LIACOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.N.P
Contact information
Practice address
DOWLING 3 SOUTH, PEDIATRIC NEUROLOGY, HARRISON AVE CAMPUS BOSTON MEDICAL CENTER, BOSTON, MA 02118
(617) 414-4569
Mailing address
41A SYMPHONY RD, BOSTON, MA 02115-4004
(857) 991-1076
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
161082
MA
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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