Individual
ALICE LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MAIN ST, WALTHAM, MA 02453-6905
(781) 642-1105
(781) 642-0990
Mailing address
15 MAIN ST, WALTHAM, MA 02453-6905
(781) 642-1105
(781) 642-0990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20179
MA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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