Individual
ALEXIS D LIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6895
Mailing address
88 TYLER PARK, LOWELL, MA 01851-2922
(978) 996-4462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4734
MA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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