DAT TAT LE

LAWRENCE, MA
NPI1407116106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  262627)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-05-29
Last Update Date2015-08-06
Business Address
-- DAT TAT LE MD effective 6/1/12
1 GENERAL ST
LAWRENCE, MA 01841-2961
Phone number: 978-638-4000
Mailing Address
-- DAT TAT LE MD effective 6/1/12
10 BURLINGTON AVE APT 2-302
WILMINGTON, MA 01887-3934
Phone number: 512-940-4970
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