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Individual

DR. LUCINDA L EVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, GRB444E, BOSTON, MA 02114-2621
(617) 724-3649
(617) 724-8500
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
222946
MA
207R00000X
Internal Medicine Physician
222946
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2085771
MA
01
469987
TUFTS HEALTH PLAN
MA
01
J28126
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
08/12/2009
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