Individual
LAUREN LARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 POPLAR ST, MELROSE, MA 02176-3022
(781) 962-2460
Mailing address
49 POPLAR STREET, MELROSE, MA 02176
(781) 962-2460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161216796
TAX ID
MA
Enumeration date
06/01/2011
Last updated
06/01/2011
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