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Individual

MS. LANI ROSE WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICAC, MAC

Contact information

Practice address
47 3RD ST, SUITE 201, CAMBRIDGE, MA 02141-1265
(781) 366-0881
Mailing address
12 BOSTON ST, MALDEN, MA 02148-7721
(781) 366-0881

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
257121
MA

Other

Enumeration date
05/29/2013
Last updated
07/22/2016
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