Individual
DIANE M MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Mailing address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
205968
MA
363LF0000X
Family Nurse Practitioner
205968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110014670A
—
MA
Enumeration date
01/03/2007
Last updated
06/29/2020
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