Individual
DR. LAUREN M. NENTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-4922
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237211
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081767A
—
MA
Enumeration date
03/20/2008
Last updated
04/03/2015
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