Individual
MR. LAMPROS A MINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
840 WINTER ST, WALTHAM, MA 02451-1433
(617) 738-8642
(617) 202-4172
Mailing address
20 GUEST ST STE 225, BRIGHTON, MA 02135-2065
(617) 738-8642
(617) 202-4172
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
579
MA
Other
Enumeration date
01/04/2007
Last updated
12/06/2017
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