Individual
MRS. SINI POULOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
LAHEY HEALTH PRIMARY CARE, LYNNFIELD, 6 KIMBALL LANE, SUITE 120, LYNNFIELD, MA 01940-2667
(781) 213-4040
Mailing address
LAHEY HEALTH PRIMARY CARE, LYNNFIELD, 6 KIMBALL LANE, SUITE 120, LYNNFIELD, MA 01940-2667
(781) 213-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
234825
MA
207Q00000X
Family Medicine Physician
L6130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170320901
—
TX
Enumeration date
07/21/2005
Last updated
03/15/2024
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