Individual
MRS. ELIZABETH LANE ALQUEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 FRANCIS ST, SUITE 8E, BOSTON, MA 02215-5501
(617) 632-9716
(617) 632-1065
Mailing address
33 KENDALL ST, UNIT #1, BROOKLINE, MA 02445-7566
(617) 632-9716
(617) 632-1065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2112
MA
363AM0700X
Medical Physician Assistant
PA9102831
FL
Other
Enumeration date
11/05/2005
Last updated
09/11/2025
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