Individual
DR. STACIE LUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5632
Mailing address
45 NORRIS ST APT 3, CAMBRIDGE, MA 02140-1814
(714) 756-0727
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20558
MA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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