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Individual

DR. LISA MANZI LENTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
416 BOSTON POST RD, SUDBURY, MA 01776-3016
(978) 443-5611
Mailing address
416 BOSTON POST RD, SUDBURY, MA 01776-3016
(978) 443-5611

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7893
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2115855
CIGNA BEHAVIORAL HEALTH
MA
01
W06068
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/15/2006
Last updated
07/08/2007
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