Individual
MRS. LISA SUE KAPLAN DISTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 POST GATE ROAD, DANVERS, MA 01923-1840
(978) 762-0669
Mailing address
9 POST GATE ROAD, DANVERS, MA 01923-1840
(978) 762-0669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215515
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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