Individual
LAUREN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
260 GROVE ST APT 4A, WEST ROXBURY, MA 02132-6015
(810) 397-8177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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