Individual
LAURIE A COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 BRADLEE RD, LOWER LEVEL, MEDFORD, MA 02155-3171
(781) 249-5727
Mailing address
16 BRADLEE RD, LOWER LEVEL, MEDFORD, MA 02155-3171
(781) 249-5727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4021
MA
Other
Enumeration date
02/06/2010
Last updated
04/17/2017
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