Provider Demographics
NPI:1104975887
Name:SLATER, NANCY S (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:S
Last Name:SLATER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:48 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-1812
Mailing Address - Country:US
Mailing Address - Phone:781-862-7893
Mailing Address - Fax:781-862-7893
Practice Address - Street 1:48 NORTH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1812
Practice Address - Country:US
Practice Address - Phone:781-862-7893
Practice Address - Fax:781-862-7893
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA60370207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology