Individual
KRISTIN LOUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13 E HOYLE ST, NORWOOD, MA 02062-3405
(781) 551-8002
Mailing address
122A ENGLEWOOD AVE APT 2, BOSTON, MA 02135-7029
(520) 419-2012
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
09/24/2020
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