Individual
GRACE LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135
(617) 789-2000
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
272545
MA
Other
Enumeration date
07/08/2017
Last updated
08/11/2018
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