Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN232119 | MA |
N | 363LA2100X | Nurse Practitioner - Acute Care | RN232119 | MA |
NPI | 1013226067 |
---|---|
Provider Name | Trisha A. Lawrence |
First Address | Boston, MA 02241-5348 |
Second Address | Lowell, MA 01851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2010 |
Last Update Date | 23/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110088869A | (05) | MA |