Individual
SANDRA JEAN COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
631 LINCOLN ST, WORCESTER, MA 01605-2010
(800) 853-2288
(508) 853-8593
Mailing address
650 LINCOLN ST, WORCESTER, MA 01605-2060
(508) 854-2122
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4875
MA
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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