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Individual

LONNIE HOUGHTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
228 FIELD ST, NEW BEDFORD, MA 02740-2133
(508) 996-3991
Mailing address
228 FIELD ST, NEW BEDFORD, MA 02740-2133
(508) 996-3991

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
113
MA

Other

Enumeration date
03/03/2006
Last updated
07/08/2007
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