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NPI Code Detail

MEDICARE: TERESA LESPERANCE

MEDICARE: TERESA LESPERANCE
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
1163W00000XRegistered NurseRN231802MA

General Provider Information

NPI Number : 1720772627
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA LESPERANCE
Provider Business Mailing Address
First Line : 14 SUSAN LN
Second Line :
City : BELLINGHAM
State : MA
Zip : 02019-1845
Country : US
Telephone Number : 774-573-9009
Fax Number :
Provider Business Practice Location Address
First Line : 41 CAPE RD
Second Line :
City : MILFORD
State : MA
Zip : 01757-3276
Country : US
Telephone Number : 774-573-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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Directions to “ TERESA LESPERANCE ” Practice Location

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