Individual
MARYANNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5159
Mailing address
7 GENNARO CIR, WAYLAND, MA 01778-4436
(508) 653-3870
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
119179
MA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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