Individual
THERESA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7 ALLSTATE RD, BOSTON, MA 02125-1663
(617) 512-1033
Mailing address
7 ALLSTATE RD, BOSTON, MA 02125-1663
(617) 512-1033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002727
VA
152W00000X
Optometrist
Primary
5400
MA
152W00000X
Optometrist
TUV008411
NY
Other
Enumeration date
08/01/2016
Last updated
01/26/2022
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