Individual
DR. ELLIOT LACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 TURNPIKE RD, SOUTHBOROUGH, MA 01772-2110
(508) 481-0300
Mailing address
77 TURNPIKE RD STE 101, SOUTHBOROUGH, MA 01772-2110
(508) 480-8883
(617) 752-3690
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
53160
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9735071
—
MA
Enumeration date
08/09/2006
Last updated
10/11/2019
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