Individual
LAURA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 ALBANY ST, BOSTON, MA 02118-2520
(617) 534-5842
(617) 419-1540
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 417-3408
(617) 534-2611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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