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Individual

LAM Q DUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
61 LOCUST ST, MEDFORD, MA 02155-5713
(781) 395-3233
(781) 395-3949
Mailing address
208 GARDINER RD, QUINCY, MA 02169-1152
(781) 395-3233

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21964
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0401455
MA
Enumeration date
02/01/2012
Last updated
02/01/2012
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