Individual
LAUREN ASHLEY ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 FRANCIS ST, BOSTON, MA 02115-6134
(857) 307-1947
Mailing address
375 BOYLSTON ST, BROOKLINE, MA 02445-6007
(857) 307-0896
(857) 307-0899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4749
MA
Other
Enumeration date
05/14/2013
Last updated
12/18/2019
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