Individual
LARA BASOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3311
Mailing address
15 PARKMAN ST FL CENTER8, BOSTON, MA 02114-3117
(617) 726-3311
(617) 726-9250
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
294357
MA
2084N0400X
Neurology Physician
294357
MA
Other
Enumeration date
04/16/2017
Last updated
05/08/2025
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