Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LG0600X | Nurse Practitioner - Gerontology | AG06190175 | MA |
NPI | 1023509973 |
---|---|
Provider Name | Kara Anne Lapierre |
First Address | Wayland, MA 01778-4425 |
Second Address | Wayland, MA 01778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2018 |
Last Update Date | 10/02/2022 |