Lauren Dickerman O.D.

NPI 1790874667 - Optometrist - 152W00000X

NPI Details
NPI 1790874667
Gender Female
Enumeration Date 10/11/2006
Last Updated 03/04/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
19 DUNSTER ST
CAMBRIDGE MA, 02138-5002, US
Phone (617) 354-5590
Fax
Business Location
19 DUNSTER ST
CAMBRIDGE MA, 02138-5002, US
Phone (617) 354-5590
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 4211
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According to our database, Ms. Lauren Dickerman O.D. NPI is 1790874667, taxonomy code is 152W00000X and license number is 4211, license state is located at Massachusetts. Lauren Dickerman O.D. physically located at 19 Dunster St, Cambridge MA, 02138-5002. NPI Number Lauren Dickerman O.D. has the Individual type.

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1790874667 NPI number is provided on an as is basis without warranty of any kind. 1790874667 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Dickerman O.D. are for informational purposes only.