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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

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