Individual
LAURA L MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
145 ROSEMARY STREET, SUITE C, NEEDHAM, MA 02494-3259
(781) 235-7900
(781) 237-9930
Mailing address
145 ROSEMARY STREET, SUITE C, NEEDHAM, MA 02494-3259
(781) 235-7900
(781) 237-9930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN2276807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111980A
—
MA
Enumeration date
08/06/2014
Last updated
11/28/2025
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