Lola Dee White
Licensed Practical Nurse in Springfield, MA. Individual provider (NPI-1).
NPI number1902569080
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1902569080
- Entity type
- Individual (NPI-1)
- Name
- Lola Dee White
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2021
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN92543 | MA | Yes |
Practice location
417 Liberty StSpringfield, MA 01104-3736
Phone 413-747-0705 · Fax 413-732-7075
Mailing address
417 Liberty StSpringfield, MA 01104-3736
Phone 413-747-0705 · Fax 413-732-7075
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