Individual
LACEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 NORTH BEACON ST, WATERTOWN, MA 02472-0247
(617) 972-7200
Mailing address
8 1/2 ALLEN ST REAR, SALEM, MA 01970-5355
(617) 972-7200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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