Individual
LAWRENCE G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 UPLAND RD, WABAN, MA 02468-2005
(617) 244-3103
Mailing address
118 UPLAND RD, WABAN, MA 02468-2005
(617) 244-3103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45699
MA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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