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Individual

DR. LAWRENCE C. RUSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5215
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5215

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
80421
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110058187A
MA
Enumeration date
09/21/2006
Last updated
10/24/2011
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