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Individual

STACY A LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
31 FLAGG DRIVE, NEW ENGLAND EYE FULLER MIDDLE SCHOOL, FRAMINGHAM, MA 01702
(508) 620-4956
(508) 879-4909
Mailing address
930 COMMON WEALTH AVE SUITE 2A, NEW ENGLAND EYE INSTITUE, BOSTON, MA 02215
(617) 262-2020
(617) 236-6323

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3440
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
324370
MA
Enumeration date
07/26/2005
Last updated
12/28/2007
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