Individual provider · Type 1 NPI
Gallus Lereh Fotabong
Gerontology Nurse Practitioner · Lynn, MA
NPI number
1821755513
Active
Practice location
41 Harvest St
Lynn, MA 01902-1122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG11210066 (MA) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Lynn
About NPI 1821755513
Gallus Lereh Fotabong's National Provider Identifier is 1821755513, issued on Nov 17, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lynn, MA. The record was last updated on Nov 17, 2021.