Organization
LAMOUR GROUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY A MORRIS (INTERN)
(781) 866-0203
Entity
Organization
Contact information
Practice address
44 DIAUTO DRIVE, RANDOLPH, MA 02368
(781) 885-7252
Mailing address
104 PINE ST, CAMBRIDGE, MA 02139-2722
(781) 866-0203
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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