Individual
IRIS SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 586-6505
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 586-6505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93325
MA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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