Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA LAKE, PA
ActiveMELISSA LAKE, PA is a Medical Physician Assistant healthcare provider located in WOBURN, Massachusetts. NPI 1922584499 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOBURN, MA
Registration Details
- NPI Number
- 1922584499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2018 (8.2815406917496 yrs)
- Last Updated
- Jul 17, 2018
- License
-
PA6641 (MA)
Practice Information
- Address
-
800 W CUMMINGS PARK STE 1200WOBURN, MA, 018016587Browse MA providers · Browse ZIP 01801
- Phone
- 7819277246
- Fax
- 7813054683
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.