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Individual

LAUREN WILMOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
102 SHORE DR STE 104, WORCESTER, MA 01605-3154
(508) 853-7500
Mailing address
72 STREETER RD, PAXTON, MA 01612-1108

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7114
MA

Other

Enumeration date
03/28/2017
Last updated
03/28/2017
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