Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthoptist |
156FX1900X |
| NPI # | 1881884856 |
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| LBN Legal business name | THE LIONS ORTHOPTIC CLINIC OF WESTERN MA INC | ||||||||
| Authorized official | JAMES GRACIA - (PRESIDENT OF CORPORATION) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/26/2007 | ||||||||
| Last updated | 04/20/2008 - About 18 years ago | ||||||||
| Identifiers |
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