Individual
LACEY BREENA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, COX 201, BOSTON, MA 02114
(617) 726-3850
Mailing address
55 FRUIT STREET, COX 201, BOSTON, MA 02114
(617) 726-3850
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
266632
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
04/05/2022
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