NPI 1184805665

Ann L Broski, LCMT

Practitioner Specialist Lexington, MA

Practice location

Address: 21 Worthen Rd STE 1-1, Lexington, MA 02421-4835
Phone: (781) 541-6301

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MT091 (MA)

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Registry record

NPI: 1184805665
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2007
Record last updated: 26 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.