Individual
RONALD V LACRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2793
Mailing address
PO BOX 9135, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
57896
MA
208000000X
Pediatrics Physician
57896
MA
2080P0202X
Pediatric Cardiology Physician
Primary
57896
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085023
—
MA
05
—
RL03673
—
RI
Enumeration date
02/01/2006
Last updated
11/17/2020
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