MISS Lisa Dupree, STUDENT

NPI #1073895371 in Roxbury, Massachusetts

Provider Information

NPI Number: 1073895371
Entity Type: Individual
Name: MISS Lisa Dupree, STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 55 DIMOCK ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119
Phone: (617) 442-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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