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Sonia Lipson
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NPI Number Detailed Information
Provider Information:
| Name: | Sonia Lipson |
| Gender: | F |
| Provider License Number If Given: | 159915 |
NPI Information:
| NPI: | 1396730800 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 6/10/2013 |
Provider Business Mailing Address:
| Address: | 398 NEPONSET AVENUE Dorchester, MA 02122 |
| Phone Number: | 6172823200 |
| Fax Number: | 6172659719 |
Provider Business Practice Location Address:
| Address: | 398 NEPONSET AVE Dorchester, MA 02122 |
| Phone Number: | 6172823200 |
| Fax Number: | 6172659719 |
Provider Taxonomy:
| Primary: | 363L00000X |
| Secondary (if any): | |
| State: | MA |
