Individual
LISA M PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2340 GAR HWY, SWANSEA, MA 02777-3907
(866) 389-2727
Mailing address
2340 GAR HWY, SWANSEA, MA 02777-3907
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2260359
MA
Other
Enumeration date
07/24/2018
Last updated
07/28/2023
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