Provider Demographics
NPI:1558617472
Name:SACCONE, LEE-ANNE (NP)
Entity Type:Individual
Prefix:MRS
First Name:LEE-ANNE
Middle Name:
Last Name:SACCONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 LINCOLN ST
Mailing Address - Street 2:UMASS MEMORIAL EMPLOYEE HEALTH SERVICES
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2529
Mailing Address - Country:US
Mailing Address - Phone:508-793-6384
Mailing Address - Fax:508-793-6410
Practice Address - Street 1:210 LINCOLN ST
Practice Address - Street 2:UMASS MEMORIAL EMPLOYEE HEALTH SERVICES
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2529
Practice Address - Country:US
Practice Address - Phone:508-793-6384
Practice Address - Fax:508-793-6410
Is Sole Proprietor?:No
Enumeration Date:2012-07-29
Last Update Date:2012-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203252363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health