Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN2285109 | MA |
NPI | 1073060653 |
---|---|
Provider Name | Ms. Lauren Kelly Wright |
First Address | Woburn, MA 01801 |
Second Address | Woburn, MA 01801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 01/09/2016 |