Doctor Name: | LORI B DAKIN |
NPI Number: | 1053395285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 175676 |
Business Practice Address: | 275 Nichols Rd Fitchburg, MA - 014201931 |
Business Phone Number: | 9786655860 |
Business Fax Number: | |
Mailing Address: | Po Box 9132, BROOKLINE |
State: | MA |
Postal Code: | 024469132 |
Phone Number: | 8009270002 |
Fax Number: | 6038938886 |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 12/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 175676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |