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Ms. Lynn Wiwanto
Student in an Organized Health Care Education/Training Program in Cambridge, Massachusetts
NPI 1639707748

Lynn Wiwanto is a Student in an Organized Health Care Education/Training Program based in Cambridge, MA. Lynn Wiwanto practices in Cambridge, MA. The NPI Number for Lynn Wiwanto is 1639707748 and holds a License No. (Massachusetts).

The current practice location address for Lynn Wiwanto is 1493 Cambridge Street, Cambridge, MA and can be reached out via phone at 617-665-1000.

Location: 1493 Cambridge Street, Cambridge, MA, 02139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639707748
Provider Name
Lynn Wiwanto
Credential
Provider Entity Type
Individual
Gender
Female
Address
1493 Cambridge Street, Cambridge, MA, 02139
Phone Number
617-665-1000
Fax Number
Provider Enumeration Date
04/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1493 Cambridge Street
City
Cambridge
State
Massachusetts
Zip
02139
Phone Number
617-665-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1493 Cambridge Street
City
Cambridge
State
Massachusetts
Zip
02139
Phone Number
617-665-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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