Individual provider · Type 1 NPI

Iva Gavassi Jorge Fernandes

Student in an Organized Health Care Education/Training Program · Lexington, MA

NPI number 1073460200 Active

Practice location

29 Constitution Rd
Lexington, MA 02421-6628

Call (617) 949-1574 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Lexington

See all in Lexington →

About NPI 1073460200

Iva Gavassi Jorge Fernandes's National Provider Identifier is 1073460200, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, MA. The record was last updated on Mar 16, 2026.