Individual
LAUREN IACOVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MS, AGPCNP-BC
Contact information
Practice address
710 ROUTE 28, HARWICH PORT, MA 02646-1931
(508) 432-1400
(508) 487-6298
Mailing address
PO BOX 598, HARWICH PORT, MA 02646-0598
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2299333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117917A
—
MA
Enumeration date
09/10/2015
Last updated
06/05/2025
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