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NPI Code Detail

MEDICARE: TARSI PAOLA MELENCIANO LARA

MEDICARE: TARSI PAOLA MELENCIANO LARA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0705XMedical-Surgical Registered NurseRN10011847MA

General Provider Information

NPI Number : 1588508717
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARSI PAOLA MELENCIANO LARA
Provider Business Mailing Address
First Line : 256 LYNNWAY APT 314
Second Line :
City : LYNN
State : MA
Zip : 01901-1868
Country : US
Telephone Number : 781-513-5834
Fax Number :
Provider Business Practice Location Address
First Line : 81 HIGHLAND AVE
Second Line :
City : SALEM
State : MA
Zip : 01970-2768
Country : US
Telephone Number : 978-741-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ TARSI PAOLA MELENCIANO LARA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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