Individual
LORRAINE T RAVINO MAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4308
(617) 876-4344
(617) 234-7913
Mailing address
63 LORRAINE ST, ROSLINDALE, MA 02131-2733
(617) 327-3742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MA231162
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707350
—
MA
Enumeration date
07/04/2006
Last updated
07/08/2007
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