Individual
MS. LAUREN DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19 DUNSTER ST, CAMBRIDGE, MA 02138-5002
(617) 354-5590
Mailing address
19 DUNSTER ST, CAMBRIDGE, MA 02138-5002
(617) 354-5590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4211
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334570
—
MA
Enumeration date
10/11/2006
Last updated
03/04/2008
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