Individual
LAURETTE MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
70 FORSYTH ST, BOSTON, MA 02115-5026
(617) 373-2772
Mailing address
70 FORSYTH ST, BOSTON, MA 02115-5026
(617) 373-2772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN283070
MA
Other
Enumeration date
11/15/2017
Last updated
03/23/2021
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