Individual
MARANDA JANE LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 LONGWOOD AVE, BOSTON, MA 02115-5711
(617) 355-6462
Mailing address
300 LONGWOOD AVE # LO-367, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
AP2632
MA
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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