Individual
LAUREN MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 MILLBURY ST, WORCESTER, MA 01610-2177
(508) 755-1228
(508) 754-0668
Mailing address
555 MANNING ST, JEFFERSON, MA 01522-1540
(508) 769-8987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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