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Individual

DR. LAURA LYNN GINEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
193 LOCUST ST, NORTHAMPTON, MA 01060-2056
(413) 584-8700
(413) 584-1714
Mailing address
12 WAVERLY ST APT 1, BRIGHTON, MA 02135-1209
(516) 554-1731

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
275895
MA
208000000X
Pediatrics Physician
Primary
T287915
MA

Other

Enumeration date
06/19/2018
Last updated
07/19/2021
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