Individual
FREDERICO AZEVEDO LAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
340 MAPLE ST, SUITE 400, MARLBOROUGH, MA 01752-3200
(508) 485-9300
(508) 485-2106
Mailing address
20 ADAMS ST # 8, WALTHAM, MA 02453-4404
(617) 872-5894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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