Individual
TANYA ELAINE LACHOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 AGASSIZ ST APT 1, CAMBRIDGE, MA 02140-2826
(520) 784-9678
Mailing address
19 AGASSIZ ST APT 1, CAMBRIDGE, MA 02140-2826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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