Individual provider · Type 1 NPI

Lisa A. Nugent, CCLS CEIS

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

NPI number 1235296955 Active

Practice location

1115 West Chestnut St
Brockton, MA 02301

Call (508) 559-0473 Map

Fax (508) 427-5361

Mailing address

24 Plain St
Pembroke, MA 02359

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.

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About NPI 1235296955

Lisa A. Nugent, CCLS CEIS's National Provider Identifier is 1235296955, issued on Jan 2, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.