Most Relevant Information
Provider Data
| NPI Number: | 1003175910 |
| Provider Name: | LIDYA H WLASIUK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 264803 |
Most Important Dates
| Enumeration Date: | 05/11/2012 |
| Last Updated: | 10/26/2016 |
Provider Practice Location
850 HARRISON AVE
YACC 5
BOSTON
MA
021184001
Practice Location Phone/Fax
| Phone: | 6174142080 |
| Fax: | 6174142090 |
Provider Mailing Location
720 HARRISON AVE
DOB 503
BOSTON
MA
021182371
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR