Individual
MARISA LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, LUNDER 9, BOSTON, MA 02115
(617) 726-2000
Mailing address
55 FRUIT ST, LUNDER 9, BOSTON, MA 02115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2258703
MA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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