Individual
MRS. LISA MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
320 WASHINGTON ST, NORTH EASTON, MA 02357-1168
(508) 565-1307
Mailing address
142 MILTON ST, DORCHESTER, MA 02124-5327
(781) 956-2666
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2013011857
MA
Other
Enumeration date
07/29/2013
Last updated
10/01/2020
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