Individual
KEENER LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9498
(978) 287-9453
Mailing address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9498
(978) 287-9453
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5057
MA
Other
Enumeration date
07/21/2015
Last updated
07/31/2015
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