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Individual

ANDREA LYNN CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8442
Mailing address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8442

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4509
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0799998
MA
Enumeration date
07/21/2006
Last updated
07/23/2015
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