Individual
MS. KATHERINE STEVENS LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
110 FRANCIS ST, DIVISION OF GERONTOLOGY LMOB-1, BOSTON, MA 02215-5501
(617) 632-8696
(617) 632-8673
Mailing address
23 PIPER RD, ACTON, MA 01720-4440
(978) 263-2747
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
151955
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
151955
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705811
—
MA
Enumeration date
08/03/2006
Last updated
01/28/2009
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