Doctor Name: | MRS. KELLEY ANNE LEMOVITZ |
NPI Number: | 1053430702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, CPNP |
License Number: | 262959 |
Business Practice Address: | 60 Hodges Ave Goss 1 Taunton, MA - 027803034 |
Business Phone Number: | 5088283857 |
Business Fax Number: | |
Mailing Address: | 141 Pleasant St, Unit 8 ATTLEBORO |
State: | MA |
Postal Code: | 027032310 |
Phone Number: | 5084552579 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 262959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |