Individual
LISA M. LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 MAIN STREET, 3RD FL, SUITE C&D, SPRINGFIELD, MA 01107-1112
(413) 794-5600
(413) 794-7297
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN269919
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN269919
MA
363LG0600X
Gerontology Nurse Practitioner
RN269919
MA
Other
Enumeration date
07/12/2017
Last updated
11/20/2018
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