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Mr. Samuel Polanco, DO
Optician in Lawrence, Massachusetts
NPI 1225255995

Samuel Polanco is a Optician based in Lawrence, MA and is specialized in Optician. Samuel Polanco practices in Lawrence, MA and has the professional credentials of DO. The NPI Number for Samuel Polanco is 1225255995 and holds a License No. 4228 (Massachusetts).

The current practice location address for Samuel Polanco is 327 Essex St, Lawrence, MA and can be reached out via phone at 978-689-4402.

Location: 327 Essex St, Lawrence, MA, 01840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225255995
Provider Name
Samuel Polanco
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
327 Essex St, Lawrence, MA, 01840
Phone Number
978-689-4402
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1526014 05 MA
institution
Provider Business Practice Location Address Details
Address
327 Essex St
City
Lawrence
State
Massachusetts
Zip
01840
Phone Number
978-689-4402
Fax Number
person
Provider Business Mailing Address Details
Address
327 Essex St
City
Lawrence
State
Massachusetts
Zip
01840
Phone Number
978-689-4402
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
4228 (Massachusetts)
Definition
Definition to come...
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