NPI 1114350378

Melissa L Odougherty

Practitioner Specialist Lowell, MA

Practice location

Address: 148 Warren St, Lowell, MA 01852-2208
Phone: (978) 452-1736

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1114350378
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2013
Record last updated: 12 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.