MS. Lee Ann Tata, NP
NPI #1093864787 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1093864787
- Entity Type
- Individual
- Name
- MS. Lee Ann Tata, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- NP
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 950 WINTER ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-1424
- Phone
- (781) 472-8517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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