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Individual

MR. CHRIS A LINDSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
56 WORCESTER RD, WEBSTER, MA 01570
(508) 943-9057
Mailing address
PO BOX 1119, WEBSTER, MA 01570-4119
(508) 943-9057

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
5758
MA
156FX1800X
Optician
Primary
5758
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0317586
MASSHEALTH
MA
Enumeration date
10/17/2007
Last updated
10/17/2007
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