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Individual

DR. LILA L ANNALORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD

Contact information

Practice address
1350 BELMONT STREET, SUITE 103, BROCKTON, MA 02301-4430
(508) 580-2137
(508) 559-6143
Mailing address
1350 BELMONT STREET, SUITE 103, BROCKTON, MA 02301-4430
(508) 580-2137
(508) 559-6143

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4639
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
408061
TAHP
MA
01
W04506
BCBS
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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