JOHNNY LEE ISENBERGER

WORCESTER, MA
NPI1497987028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MA  250929)
Enumeration Date2009-08-15
Last Update Date2020-11-05
Business Address
JOHNNY LEE ISENBERGER
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-207-7600
Mailing Address
JOHNNY LEE ISENBERGER
PO BOX 415348
BOSTON, MA 02241-0001
Phone number: 800-225-8885
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