Individual
LAUREN MICHELLE HERTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6310
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(215) 908-2594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197395
PA
2085R0001X
Radiation Oncology Physician
Primary
265396
MA
390200000X
Student in an Organized Health Care Education/Training Program
MT197395
PA
Other
Enumeration date
05/13/2010
Last updated
02/03/2016
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