Healthcare Provider Details

I. General information

NPI: 1376480129
Provider Name (Legal Business Name): ROSA NAOMI CORPORAN-FRANCIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 UNION STREET LAWRENCE
LAWRENCE MA
01840
US

IV. Provider business mailing address

500 HADLEY WEST DR APT 202
HAVERHILL MA
01832-3634
US

V. Phone/Fax

Practice location:
  • Phone: 978-682-7289
  • Fax:
Mailing address:
  • Phone: 978-305-3254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: