Individual
LUCAS ISHMAEL TRAVASSOS-LOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 JENSEN RD, WATERTOWN, MA 02472-2153
(774) 634-5890
Mailing address
95 JENSEN RD, WATERTOWN, MA 02472-2153
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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