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Individual

MR. LUCAS A LEGERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 363-5175
(617) 636-5176
Mailing address
29 SAGAMORE ST, APT 2, DORCHESTER, MA 02125-1457
(601) 506-1433

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17685
MA

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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