Individual
RAN HWA KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 MALL RD, LAHEY CLINIC MEDICAL CENTER, BURLINGTON, MA 01805-0002
(781) 744-8640
(781) 744-3160
Mailing address
41 MALL RD, LAHEY CLINIC MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8640
(781) 744-3160
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1873
MA
Other
Enumeration date
01/02/2007
Last updated
12/12/2011
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