Individual
MR. LAWRENCE E VENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
925 COMMONWEALTH AVE, BOSTON, MA 02215-1394
(617) 353-7326
(617) 358-7166
Mailing address
370 OLD LANCASTER RD, SUDBURY, MA 01776-2032
(617) 353-7326
(617) 358-7166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
313
MA
Other
Enumeration date
09/29/2005
Last updated
12/13/2011
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