Provider Demographics
NPI:1972975043
Name:BRATTI LOPES DE LIMA, ANA P (MED)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:P
Last Name:BRATTI LOPES DE LIMA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MILL ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-3587
Mailing Address - Country:US
Mailing Address - Phone:978-970-1250
Mailing Address - Fax:
Practice Address - Street 1:11 MILL ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-3587
Practice Address - Country:US
Practice Address - Phone:978-970-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1385941Other1385941