Individual
DR. LESA DENNIS-MAHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2304 WASHINGTON ST, ROXBURY, MA 02119-3221
(781) 725-2020
Mailing address
2304 WASHINGTON ST, ROXBURY, MA 02119-3221
(781) 725-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4734
MA
Other
Enumeration date
06/16/2009
Last updated
06/26/2015
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