Doctor Name: | LYNNE MONFREDA |
NPI Number: | 1033107396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | NP9917 |
Business Practice Address: | 100 Hospital Rd Suite 4 Leominster, MA - 014532253 |
Business Phone Number: | 9785146300 |
Business Fax Number: | 9785146324 |
Mailing Address: | 100 Hospital Rd, Suite 4 LEOMINSTER |
State: | MA |
Postal Code: | 014532253 |
Phone Number: | 9785146300 |
Fax Number: | 9785146324 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | NP9917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |