Individual
DIANE C LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 EASTERN AVE, LYNN, MA 01902-1570
(781) 599-4482
Mailing address
6 OSAGE RD, CANTON, MA 02021-1225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241226
MA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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