Lisa R Henriques
NPI #1194901264 in Everett, Massachusetts
Provider Information
- NPI Number
- 1194901264
- Entity Type
- Individual
- Name
- Lisa R Henriques
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 18, 2008
- Last Updated
- Jan 18, 2008
Practice Location
- Address
- 22 CHURCH ST
- City
- Everett
- State
- Massachusetts
- ZIP Code
- 02149-2718
- Phone
- (617) 291-7460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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