Individual
DR. LYLE KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8869
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8869
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2780
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110023134A
—
MA
Enumeration date
08/02/2006
Last updated
03/06/2013
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