Individual
MS. LAUREN PUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 HUNTINGTON AVE # SB112, BOSTON, MA 02115-5018
(617) 585-1284
(617) 585-1208
Mailing address
290 HUNTINGTON AVE # SB112, BOSTON, MA 02115-5018
(617) 585-1284
(617) 585-1208
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
209009940
IL
363L00000X
Nurse Practitioner
Primary
209-009940
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209009940
LICENSE
IL
01
—
RN250838
LICENSE
MA
Enumeration date
11/15/2012
Last updated
03/17/2023
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