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NPI Code Detail

MEDICARE: LAURIE KEEGAN CNP

MEDICARE:   LAURIE  KEEGAN  CNP
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
1163WC1500XCommunity Health Registered Nurse202776MA
2363LP2300XPrimary Care Nurse Practitioner202776MA

General Provider Information

NPI Number : 1629486139
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE KEEGAN CNP
Provider Business Mailing Address
First Line : 27 MECHANIC ST
Second Line :
City : NEWTON
State : MA
Zip : 02464-1413
Country : US
Telephone Number : 978-505-2854
Fax Number :
Provider Business Practice Location Address
First Line : 120 WATER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-2648
Country : US
Telephone Number : 978-558-4120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 08/27/2014

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Directions to “ LAURIE KEEGAN CNP” Practice Location

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