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Search › Massachusetts › 163W00000X

Lebga Gwanvalla

NPI 1720845399 · on the registry since 2024

Practice

Address
103 Garland St
Everett, MA 02149
Phone
(617) 389-6270
Organisation at this address
Cambridge Health Alliance
Cambridge Health Alliance
Cambridge Health Alliance
Cambridge Health Alliance
Cambridge Health Alliance
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-29

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