Individual ProviderLexus R VasquesStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Boston, MA 02111-1527(617) 636-6828PECOS EnrollmentBased on the most recent information from CMS, provider Lexus R Vasques does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1063268803Provider TypeIndividualFull NameVasques, Lexus RGenderFemaleSole ProprietorYesEnumeration Date4/24/2024Last Updated4/24/2024Contact InformationPractice LocationPractice Address1 Kneeland St, Boston, MA 02111-1527Phone(617) 636-6828FaxUnlisted FaxMailing LocationMailing Address1 Kneeland St, Boston, MA 02111-1527Phone(617) 636-6828FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerMassachusetts