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Individual

MS. LEA MICHELLE ROBERGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
18 MARANOOK RD, WORCESTER, MA 01606-2904
(774) 239-7133
Mailing address
18 MARANOOK RD, WORCESTER, MA 01606-2904
(774) 239-7133

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67307
MA

Other

Enumeration date
07/25/2013
Last updated
07/25/2013
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