Individual
AMANDA LEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Mailing address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
060278-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
284348
MA
Other
Enumeration date
10/22/2015
Last updated
10/06/2017
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