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Lisa Nicole Destefano
Specialist in South Hadley, Massachusetts
NPI 1437497526

Lisa Nicole Destefano is a Specialist based in South Hadley, MA. Lisa Nicole Destefano practices in South Hadley, MA. The NPI Number for Lisa Nicole Destefano is 1437497526 and holds a License No. (Massachusetts).

The current practice location address for Lisa Nicole Destefano is 30 Old Lyman Rd, South Hadley, MA and can be reached out via phone at 413-533-7140.

Location: 30 Old Lyman Rd, South Hadley, MA, 01075-2630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437497526
Provider Name
Lisa Nicole Destefano
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 Old Lyman Rd, South Hadley, MA, 01075-2630
Phone Number
413-533-7140
Fax Number
Provider Enumeration Date
01/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Old Lyman Rd
City
South Hadley
State
Massachusetts
Zip
01075-2630
Phone Number
413-533-7140
Fax Number
person
Provider Business Mailing Address Details
Address
30 Old Lyman Rd
City
South Hadley
State
Massachusetts
Zip
01075-2630
Phone Number
413-533-7140
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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