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Lakshan Fonseka, DO
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1669113353

Lakshan Fonseka is a Student in an Organized Health Care Education/Training Program based in Castaic, MA. Lakshan Fonseka practices in Brockton, MA and has the professional credentials of DO. The NPI Number for Lakshan Fonseka is 1669113353 and holds a License No. (Massachusetts).

The current practice location address for Lakshan Fonseka is 940 Belmont St, Brockton, MA and can be reached out via phone at 508-583-4500.

Location: 940 Belmont St, Brockton, MA, 91384-3781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669113353
Provider Name
Lakshan Fonseka
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
940 Belmont St, Brockton, MA, 91384-3781
Phone Number
508-583-4500
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Belmont St
City
Brockton
State
Massachusetts
Zip
02301-5568
Phone Number
508-583-4500
Fax Number
person
Provider Business Mailing Address Details
Address
940 Belmont St
City
Brockton
State
Massachusetts
Zip
02301-5568
Phone Number
508-583-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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