Individual
MR. IAN A LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCNS
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
254990
MA
Other
Enumeration date
06/24/2006
Last updated
04/15/2015
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