Individual
DR. ELAINE OSA DIAMOND-FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
CBOC-LOWELL, 130 MARSHALL ROAD, LOWELL, MA 01852-5130
(978) 671-9126
Mailing address
10 DEWEY RD, LEXINGTON, MA 02420-1018
(781) 674-2329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3036
MA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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