Julie Ellen Lysiak RN MS CS

NPI 1346388808 - Registered Nurse - 163WP0807X

NPI Details
NPI 1346388808
Gender Female
Enumeration Date 02/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
148 WORCESTER ST
WEST BOYLSTON MA, 01583-1751, US
Phone (508) 835-1735
Fax
Business Location
24 ASNEBUMSKIT RD
PAXTON MA, 01612-1351, US
Phone (508) 752-5621
Fax
Toxanomy
Taxonomy Code 163WP0807X
License State Massachusetts
License Number 210641
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According to our database, Mrs. Julie Ellen Lysiak RN MS CS NPI is 1346388808, taxonomy code is 163WP0807X and license number is 210641, license state is located at Massachusetts. Julie Ellen Lysiak RN MS CS physically located at 148 Worcester St, West Boylston MA, 01583-1751. NPI Number Julie Ellen Lysiak RN MS CS has the Individual type.

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1346388808 NPI number is provided on an as is basis without warranty of any kind. 1346388808 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Ellen Lysiak RN MS CS are for informational purposes only.