Organization
LUMINOUS VITALITY BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE MD (MANAGER)
(617) 841-3620
Entity
Organization
Contact information
Practice address
101 FEDERAL ST STE 1900, BOSTON, MA 02110-1861
(617) 841-3620
(617) 334-5505
Mailing address
100 RANDALL RD UNIT 1046, WRENTHAM, MA 02093-7052
(617) 841-3620
(617) 334-5505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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