Individual
LAUREL MIANECKI MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
245445
MA
Other
Enumeration date
05/12/2009
Last updated
01/30/2015
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