Most Relevant Information
Provider Data
| NPI Number: | 1003480690 |
| Provider Name: | CORINNA HEBERT |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LN90647 |
Most Important Dates
| Enumeration Date: | 05/18/2021 |
| Last Updated: | 05/18/2021 |
Provider Practice Location
22 OLDE CANAL DR
LOWELL
MA
01851
Practice Location Phone/Fax
| Phone: | 9784525155 |
| Fax: |
Provider Mailing Location
22 OLDE CANAL DR
LOWELL
MA
01851
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |