Individual
MR. LOUIS S. DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8100
(781) 744-5213
Mailing address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8100
(781) 744-5213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3093
CT
363AM0700X
Medical Physician Assistant
Primary
PA4988
MA
Other
Enumeration date
05/01/2014
Last updated
10/26/2016
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