Provider Demographics
NPI:1831976133
Name:CIPRO, LEE ANN (BCHFS)
Entity type:Individual
Prefix:MISS
First Name:LEE ANN
Middle Name:
Last Name:CIPRO
Suffix:
Gender:F
Credentials:BCHFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SHREWSBURY ST
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1847
Mailing Address - Country:US
Mailing Address - Phone:508-338-0070
Mailing Address - Fax:
Practice Address - Street 1:155 SHREWSBURY ST
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1847
Practice Address - Country:US
Practice Address - Phone:508-338-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA02101HFS171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach