Individual
DR. LARA WAHLSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. PH.D.
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-3270
Mailing address
450 BROOKLINE AVE OFC, BOSTON, MA 02215-5450
(617) 632-3270
(617) 632-6570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
267401
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
283912
MA
Other
Enumeration date
03/22/2016
Last updated
06/08/2022
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