Individual
LAUREN FEDORE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 HARRISON AVE, SUITE1400, BOSTON, MA 02118
(617) 638-8124
(919) 843-9361
Mailing address
830 HARRISON AVE, SUITE1400, BOSTON, MA 02118
(617) 638-8124
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
274115
MA
Other
Enumeration date
04/27/2012
Last updated
02/07/2020
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