Individual
DR. CHRISTOPHER LACERRA
Active
Individual
DR. CHRISTOPHER LACERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
274276
MA
207L00000X
Anesthesiology Physician
Primary
55290
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274276
LIMITED LICENSE
MA
Enumeration date
09/15/2014
Last updated
08/24/2023
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