Basic Information
| Provider Information | |||||||||
| NPI: | 1184236432 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAM ALVARADO | ||||||||
| FirstName: | SANDY | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 MAPLE ST | ||||||||
| Address2: | |||||||||
| City: | LYNNFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019402305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815261933 | ||||||||
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| Practice Location | |||||||||
| Address1: | 37 FRIEND ST | ||||||||
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| City: | LYNN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019023068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786862807 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2020 | ||||||||
| LastUpdateDate: | 06/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN2308473 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.