Lacey Smith

NPI #1659962512 in Watertown, Massachusetts

Provider Information

NPI Number: 1659962512
Entity Type: Individual
Name: Lacey Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 2, 2021
Last Updated: Feb 2, 2021

Practice Location

Address: 175 NORTH BEACON ST
City: Watertown
State: Massachusetts
ZIP Code: 02472-0247
Phone: (617) 972-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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