Individual
MR. LUCAS FELIPE BASTOS HORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO PRIMARY CARE, PRECEPTING ROOM, BOSTON, MA 02128
(617) 414-5951
(617) 414-9251
Mailing address
725 ALBANY STREET, SHAPIRO PRIMARY CARE, PRECEPTING ROOM, BOSTON, MA 02128
(617) 414-5951
(617) 414-9251
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
96253
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2024
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