Individual
DR. WAYNE I LENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 919-2573
Mailing address
CHILDRENS HOSPITAL BOSTON, 300 LONGWOOD AVE, BOSTON, MA 02115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45839
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
45839
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079760
—
MA
Enumeration date
06/28/2006
Last updated
10/27/2007
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