Doctor Name: | DR. ELLEN LACOMIS |
NPI Number: | 1588769509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 160915 |
Business Practice Address: | 1 Washington St Suite 401 Wellesley, MA - 024811711 |
Business Phone Number: | 7814163500 |
Business Fax Number: | 7814163505 |
Mailing Address: | 4 Malt Ln, LEXINGTON |
State: | MA |
Postal Code: | 024217031 |
Phone Number: | 7814163500 |
Fax Number: | 7814163505 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 160915 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |