Individual
OLGA KONDUROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 BUTTERFIELD RD, LEXINGTON, MA 02420-2538
(781) 258-7635
Mailing address
7 BUTTERFIELD RD, LEXINGTON, MA 02420-2538
(781) 258-7635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2285147
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
AG0714151
MA
363LG0600X
Gerontology Nurse Practitioner
AG0714151
MA
Other
Enumeration date
12/18/2013
Last updated
09/24/2015
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