Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GALLUS LEREH FOTABONG
ActiveMR. GALLUS LEREH FOTABONG is a Gerontological Nurse Practitioner healthcare provider located in LYNN, Massachusetts. NPI 1821755513 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · LYNN, MA
Registration Details
- NPI Number
- 1821755513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2021 (4.5518310146979 yrs)
- Last Updated
- Nov 17, 2021
- License
-
AG11210066 (MA)
Practice Information
- Address
-
41 HARVEST STLYNN, MA, 019021122Browse MA providers · Browse ZIP 01902
- Phone
- 7812448473
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in LYNN, MA
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN G SAVAGE | A/GNP | 1376529719 |
| MS. CATHERINE M CALDER | M.S., R.N., N.P. | 1548585888 |
| CATHERINE W ULANGA | — | 1003531757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.