Individual
LAI SUNG FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 W EAGLE ST, EAST BOSTON, MA 02128-1347
(857) 205-0277
Mailing address
60 W EAGLE ST, EAST BOSTON, MA 02128-1347
(857) 205-0277
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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