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NPI Code Detail

MEDICARE: MR. ALOK J. LAWRENCE MASSAGE THERAPIST

MEDICARE:  MR. ALOK J. LAWRENCE  MASSAGE THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist1383MA

General Provider Information

NPI Number : 1790017846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALOK J. LAWRENCE MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 46 FAIRMONT ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-4441
Country : US
Telephone Number : 671-576-0940
Fax Number :
Provider Business Practice Location Address
First Line : 46 FAIRMONT ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-4441
Country : US
Telephone Number : 671-576-0940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2010
Last Update Date : 01/31/2010

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Directions to “ MR. ALOK J. LAWRENCE MASSAGE THERAPIST” Practice Location

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