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Individual

LAUREL VUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 WASHINGTON ST, PRATT OPHTHALMOLOGY ASSOCIATES, INC, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, PRATT OPHTHALMOLOGY ASSOCIATES, INC, BOSTON, MA 02111-1552
(617) 636-5000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
069998
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
069998
GA LICENSE
GA
01
241506
MA LICENSE
MA
Enumeration date
09/25/2009
Last updated
09/18/2014
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