Individual
LEBRON A SAULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
54 BAKER AVENUE EXT, SUITE 101, CONCORD, MA 01742-2137
(978) 287-3532
Mailing address
54 BAKER AVENUE EXT, SUITE 101, CONCORD, MA 01742-2137
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4587
MA
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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