Individual
MRS. LAUREN SEWELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 FENWAY, BOSTON, MA 02115-5725
(617) 264-7678
Mailing address
48 PINE RIDGE RD, WELLESLEY HILLS, MA 02481-1638
(214) 679-1270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
322055
MA
363LF0000X
Family Nurse Practitioner
RN267552
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720208
—
MA
Enumeration date
08/18/2008
Last updated
12/05/2023
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