LAKSHAN FONSEKA

BROCKTON, MA
NPI1669113353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
LAKSHAN FONSEKA DO
940 BELMONT ST
BROCKTON, MA 02301-5568
Phone number: 508-583-4500
Mailing Address
LAKSHAN FONSEKA DO
28333 BRYCE DR
CASTAIC, CA 91384-3781
Phone number: 661-319-6743