Individual
DR. LARA ANTKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DEPARTMENT OF PEDIATRICS, DOWLING BUILDING, BOSTON, MA 02118-2908
(617) 638-8000
Mailing address
1 BOSTON MEDICAL CTR PL, DEPARTMENT OF PEDIATRICS, DOWLING BUILDING, BOSTON, MA 02118-2908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229590
MA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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