Individual
MR. LAWRENCE PETER WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 MAPLE ST, FLORENCE, MA 01062-1233
(413) 584-8212
(413) 584-8212
Mailing address
78 MAPLE ST, FLORENCE, MA 01062-1233
(413) 584-8212
(413) 584-8212
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517775
—
MA
Enumeration date
12/04/2006
Last updated
07/08/2007
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