Individual
LAURA BETH FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 BOYLSTON ST, SUITE 540, CHESTNUT HILL, MA 02467-2477
(617) 732-9850
Mailing address
850 BOYLSTON ST, SUITE 540, CHESTNUT HILL, MA 02467-2477
(617) 732-9850
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
235903
MA
207R00000X
Internal Medicine Physician
235903
MA
Other
Enumeration date
12/12/2007
Last updated
10/08/2009
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