Individual
LEI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8046
(781) 744-5263
Mailing address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8046
(781) 744-5263
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
273604
MA
Other
Enumeration date
04/16/2014
Last updated
04/29/2019
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