Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 1501 | MA |
NPI | 1235629668 |
---|---|
Provider Name | Joslin Lashay Seidel |
First Address | Independence, OH 44131-2330 |
Second Address | Cambridge, MA 02139-1047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2018 |
Last Update Date | 09/03/2020 |