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Individual

MRS. LORETTA M BERGESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.,RNCS

Contact information

Practice address
5 FEDERAL STREET, LAHEY HEALTH PRIMARY CARE, DANVERS, DANVERS, MA 01923-3629
(978) 750-0200
(978) 450-0220
Mailing address
5 FEDERAL STREET, LAHEY HEALTH PRIMARY CARE, DANVERS, DANVERS, MA 01923
(978) 750-0200
(978) 450-0220

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
130700
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
130700
MA

Other

Enumeration date
01/29/2007
Last updated
09/26/2018
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