Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 264796 | MA |
NPI | 1073875639 |
---|---|
Provider Name | Benjamin Logan Lampson |
First Address | Boston, MA 02215-5450 |
Second Address | Boston, MA 02215-5450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2012 |
Last Update Date | 22/08/2019 |