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Individual

SUSAN LAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
238632
MA
208800000X
Urology Physician
Primary
C137247
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C137247
CA LICENSE
CA
Enumeration date
02/26/2007
Last updated
10/11/2018
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