Individual
MOLLY LAUREN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2007009838
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
234879
MA
Other
Enumeration date
01/15/2008
Last updated
08/25/2015
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