Individual provider · Type 1 NPI
Lorraine Betwenik Gotlib, RNCS
Adult Psychiatric/Mental Health Registered Nurse · Somerville, MA
NPI number
1396799755
Active
Practice location
40 Holland St
Somerville, MA 02144-2705
Mailing address
147 Milk St, Provider Enrollment 9th Floor
Boston, MA 02109-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 116590 (MA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1396799755
Lorraine Betwenik Gotlib, RNCS's National Provider Identifier is 1396799755, issued on May 20, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Somerville, MA. The record was last updated on Apr 7, 2009.