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Individual

DR. LAURA MARIE PRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 414-5520
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
71156
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
71156
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3057593
MA
01
750128
TUFTS HEALTH PLAN
MA
01
J09206
BCBS MA
MA
Enumeration date
11/21/2005
Last updated
12/18/2023
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