Individual
SPENCER LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-4133
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
294237
MA
2086S0102X
Surgical Critical Care Physician
22900
NH
2086S0102X
Surgical Critical Care Physician
Primary
294237
MA
Other
Enumeration date
03/29/2017
Last updated
10/18/2022
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