Individual
LARA L BENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6460
Mailing address
300 LONGWOOD AVE - BCH 3129, BOSTON CHILDRENS HOSPITAL, BOSTON, MA 02115
(617) 355-6462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1513
MA
Other
Enumeration date
02/17/2006
Last updated
10/14/2014
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