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Individual

LISA ANNE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 902-5923
Mailing address
71 FISKE MILL RD, UPTON, MA 01568-1207

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2291167
MA

Other

Enumeration date
06/30/2022
Last updated
06/30/2022
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