Individual
MACKENZIE ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 WALTHAM ST STE G6, LEXINGTON, MA 02421-5409
(508) 492-5163
Mailing address
114 WALTHAM ST STE G6, LEXINGTON, MA 02421-5409
(508) 492-5163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
295059
MA
Other
Enumeration date
03/25/2020
Last updated
11/08/2024
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