Individual
LORI ANN PANTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
110 FRANCIS ST, LMOB SUITE G-B, BOSTON, MA 02215-5501
(617) 632-7706
(617) 632-7626
Mailing address
110 FRANCIS ST, LMOB SUITE G-B, BOSTON, MA 02215-5501
(617) 632-7706
(617) 632-7626
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
80590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9758399
MASSHEALTH PROVIDER NUMBE
MA
Enumeration date
12/25/2006
Last updated
07/08/2007
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