Individual
DR. KRISTIN STANLEY RULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
21 WORTHEN ROAD, LEXINGTON, MA 02421
(781) 862-1828
(781) 863-9416
Mailing address
21 WORTHEN RD, LEXINGTON, MA 02421-4835
(781) 862-1828
(781) 863-9416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4662
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0728489
—
MA
Enumeration date
07/14/2008
Last updated
08/05/2016
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