Individual
DR. LISA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 726-2000
Mailing address
149 13TH ST FL 10-136, BOSTON, MA 02129-2020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2263548
MA
363LA2100X
Acute Care Nurse Practitioner
RN2263548
MA
Other
Enumeration date
03/27/2019
Last updated
08/29/2019
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