Individual
LARA DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MULBERRY LN, LEXINGTON, MA 02420-1405
(617) 407-6861
Mailing address
3 MULBERRY LN, LEXINGTON, MA 02420-1405
(617) 407-6861
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
MA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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