Kristin B Tallman O.D.

NPI 1083697361 - Optometrist - 152W00000X

NPI Details
NPI 1083697361
Gender Female
Enumeration Date 11/21/2005
Last Updated 11/25/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
360 MERRIMACK ST
BLDG 9, ENTRANCE I
LAWRENCE MA, 01843-1740, US
Phone (978) 688-6182
Fax (978) 689-0731
Business Location
360 MERRIMACK ST
BLDG 9, ENTRANCE I
LAWRENCE MA, 01843-1740, US
Phone (978) 688-6182
Fax (978) 689-0731
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 3841
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According to our database, Kristin B Tallman O.D. NPI is 1083697361, taxonomy code is 152W00000X and license number is 3841, license state is located at Massachusetts. Kristin B Tallman O.D. physically located at 360 Merrimack St, Lawrence MA, 01843-1740. NPI Number Kristin B Tallman O.D. has the Individual type.

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1083697361 NPI number is provided on an as is basis without warranty of any kind. 1083697361 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin B Tallman O.D. are for informational purposes only.