Individual
JESSICA FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5110
MA
Other
Enumeration date
07/18/2015
Last updated
01/03/2024
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