Individual
MRS. LUCILLE PAULETTE TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
90 VANDENBERG DR, 66TH MEDICAL GROUP / SGOF, HANSCOM AFB, MA 01731-2104
(781) 377-8063
Mailing address
4 COLONIAL PL, HANSCOM AFB, MA 01731-2645
(781) 274-8676
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
161610
MA
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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