Provider Demographics
NPI:1548310675
Name:LESSARD, SHARON MURPHY (NP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MURPHY
Last Name:LESSARD
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 1:26 C ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6504
Mailing Address - Country:US
Mailing Address - Phone:508-620-6010
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:CARDIAC ACCESS UNIT ELLISON 11
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225482363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0799076Medicaid
MANP4840OtherBLUE CARE 65 (BCBS)
MANP4840OtherBCBS INDEMNITY
MANP4840OtherBCBS BLUE CARE ELECT
MA0799076OtherBCBS HMO BLUE
MANP4840OtherBCBS BLUE CARE ELECT