Individual
MS. LISA S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
73 TREMONT ST, 5TH FLOOR, BOSTON, MA 02108-3916
(617) 573-8260
Mailing address
73 TREMONT ST, 5TH FLOOR, BOSTON, MA 02108-3916
(617) 573-8260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
254646
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN254646
MA
Other
Enumeration date
06/11/2007
Last updated
09/19/2014
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