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Individual

DANIEL LIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
249 EXCHANGE ST, CHICOPEE, MA 01013-1679
(413) 540-1234
Mailing address
9 MANOR CT, SPRINGFIELD, MA 01118-2448
(413) 400-3300

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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  • EDI platform