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Individual

MS. SARAH PATRICE LATHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
16 HAYDEN AVE, LAHEY LEXINGTON, LEXINGTON, MA 02421-7929
(781) 372-7060
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2012
NH
225X00000X
Occupational Therapist
Primary
9242
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110095796A
MA
Enumeration date
03/22/2007
Last updated
08/16/2013
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