Lance Michael Petty
NPI #1174090153 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1174090153
- Entity Type
- Individual
- Name
- Lance Michael Petty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Oct 29, 2018
- Last Updated
- Oct 29, 2018
Practice Location
- Address
- 701 EDGEWATER DR STE 300
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-6242
- Phone
- (781) 486-4116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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