Individual provider · Type 1 NPI

Dorinda Lisle Vaughn

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

NPI number 1811142060 Active

Practice location

115 West Chestnut Street
Brockton, MA 02301

Mailing address

80 N Triangle Dr
Plymouth, MA 02360-7505

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 1811142060

Dorinda Lisle Vaughn's National Provider Identifier is 1811142060, issued on Dec 1, 2008. 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 Dec 1, 2008.