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1063990950
LISA NGU
BRIGHTON, MA
NPI
1063990950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MA RN2312225)
Enumeration Date
2018-08-01
Last Update Date
2023-10-11
Business Address
LISA NGU NP
BRIGHTON HIGH SCHOOL 25 WARREN STREET
BRIGHTON, MA 02135
Phone number: 617-534-9958
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Mailing Address
LISA NGU NP
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 02118-2690
Phone number: 617-414-5405
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