Individual
ANTONIO EDUARDO DIAZ LIZARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6342
(508) 383-1000
Mailing address
60 DINSMORE AVE APT 117, FRAMINGHAM, MA 01702-6058
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
289927
MA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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