SearchMassachusetts174N00000X

Brooke Penniman

NPI 1528756236 · on the registry since 2023 · sole proprietor

Practice

Address
113 Main St
Lakeville, MA 02347
Phone
(774) 208-3414

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts