Organization
NEW AGE HEALTHCARE & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA C LIMA (OWNER)
(508) 561-0216
Entity
Organization
Contact information
Practice address
630 PARK ST STE 207, STOUGHTON, MA 02072-3659
(508) 561-0216
Mailing address
PO BOX 854, LAKEVILLE, MA 02347-0854
(617) 851-3583
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
07/14/2022
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