Individual
LARA KOPOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.
Contact information
Practice address
155 W MAIN ST, NORTHBOROUGH, MA 01532-1801
(617) 875-7856
Mailing address
155 W MAIN ST, NORTHBOROUGH, MA 01532-1801
(617) 875-7856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
974
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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