Individual
PIERRE PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
41 MALL ROAD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5243
Mailing address
41 MALL ROAD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4893
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090397A
—
MA
Enumeration date
09/15/2011
Last updated
06/20/2012
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