Provider Demographics
NPI:1376534362
Name:SOBRIN, LUCIA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:
Last Name:SOBRIN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:243 CHARLES ST FL 12
Mailing Address - Street 2:MASSACHUSETTS EYE AND EAR INFIRMARY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3002
Mailing Address - Country:US
Mailing Address - Phone:617-573-4279
Mailing Address - Fax:617-573-3011
Practice Address - Street 1:243 CHARLES ST FL 12
Practice Address - Street 2:MASSACHUSETTS EYE AND EAR INFIRMARY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3002
Practice Address - Country:US
Practice Address - Phone:617-573-4279
Practice Address - Fax:617-573-3011
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2013-08-19
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Provider Licenses
StateLicense IDTaxonomies
MA216825207W00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208600000XAllopathic & Osteopathic PhysiciansSurgery