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Individual

DR. LAWRENCE A PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
40 BRATTLE ST, CAMBRIDGE, MA 02138-3712
(617) 547-3310
(617) 547-3313
Mailing address
199 BROOKLINE ST, NEWTON, MA 02459-2802
(617) 547-3310
(617) 497-2025

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
MA3642
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0391786
MA
Enumeration date
09/26/2006
Last updated
07/09/2007
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