Individual
KATHRYN LANE ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
20 DOWNER AVE, SUITE 1, HINGHAM, MA 02043-1115
(781) 740-2286
(781) 740-8214
Mailing address
20 DOWNER AVE, SUITE 1, HINGHAM, MA 02043-1115
(781) 740-2286
(781) 740-8214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1608126
—
MA
01
—
Y35894
BLUECROSSBLUESHIELD
MA
Enumeration date
05/03/2007
Last updated
07/08/2007
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